Organization
TAKING BACK OUR YOUTH
Active
Other names
TBOY
Organization subpart
No
Provider details
NPI number
Authorized official
MAKANYA LATASHA SARVERA SMITH (EXECUTIVE DIRECTOR)
(216) 799-9944
Entity
Organization
Contact information
Practice address
2012 W 25TH ST FL 7, CLEVELAND, OH 44113-4135
(216) 799-9944
Mailing address
3441 W 52ND ST, CLEVELAND, OH 44102-5817
(216) 799-9944
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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