Organization
CITIZENS ACADEMY SOUTHEAST
Active
Other names
Citizens Academy Southeast
Organization subpart
No
Provider details
NPI number
Authorized official
CELESTE FARMER (TREASURER)
(216) 391-4770
Entity
Organization
Contact information
Practice address
15700 LOTUS DRIVE, CLEVELAND, OH 44128
(216) 456-2086
(216) 391-4770
Mailing address
15700 LOTUS DRIVE, CLEVELAND, OH 44128
(216) 456-2086
(216) 391-4770
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
09/28/2016
Last updated
03/13/2024
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