Organization
FUN-TO-THE-MENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAQUELA WILLIAMS (PRESIDENT)
(330) 418-8351
Entity
Organization
Contact information
Practice address
1008 E 152ND ST STE B, CLEVELAND, OH 44110-3300
(330) 418-8351
Mailing address
944 E 147TH ST APT 3, CLEVELAND, OH 44110-3732
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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