Organization
ISCREAM SOCIAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORNICE IVANNA FRIDAY (OWNER/CEO)
(330) 348-4524
Entity
Organization
Contact information
Practice address
928 GLENSIDE RD, SOUTH EUCLID, OH 44121-3442
(330) 348-4524
Mailing address
928 GLENSIDE RD, SOUTH EUCLID, OH 44121-3442
(330) 348-4524
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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