Organization
DUAL DIAGNOSIS CENTER OF GREATER CLEVELAND INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA O BERES LICDC, LPC (PRESIDENT)
(216) 623-3555
Entity
Organization
Contact information
Practice address
2012 W 25TH ST STE 411, CLEVELAND, OH 44113-4131
(216) 623-3555
(216) 623-3555
Mailing address
4486 SILSBY RD, CLEVELAND, OH 44118-3939
(216) 623-3555
(216) 623-3555
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
12259, 575
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12259
MACSIS
OH
Enumeration date
05/03/2006
Last updated
08/22/2020
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