Organization
OHIO BUREAU OF DRUG ABUSE
Active
Other names
cleveland treatment center
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN E TEMPLAR (ASST DIR/DIR HR)
(216) 861-4246
Entity
Organization
Contact information
Practice address
1127 CARNEGIE AVE, CLEVELAND, OH 44115-2805
(216) 861-4246
(216) 861-1156
Mailing address
1127 CARNEGIE AVE, CLEVELAND, OH 44115-2805
(216) 861-4246
(216) 861-1156
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
10085-M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619934676
—
OH
Enumeration date
12/28/2016
Last updated
12/28/2016
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