Organization
PROVIXA HEALTH CARE SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROZ FORD (OWNER)
(216) 243-9301
Entity
Organization
Contact information
Practice address
3100 E 45TH ST STE 532, CLEVELAND, OH 44127-1088
(216) 260-9301
Mailing address
3100 E 45TH ST STE 532, CLEVELAND, OH 44127-1088
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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