Organization
A TRANSFORMING LIFE WELLNESS CTR LLC
Active
Organization
A TRANSFORMING LIFE WELLNESS CTR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN RICHARDSON PCC (CLINICAL COUNSELOR/CEO)
(216) 702-8526
Entity
Organization
Contact information
Practice address
3530 WARRENSVILLE CENTER RD, SUITE 102, SHAKER HTS, OH 44122-5278
(216) 702-8526
Mailing address
3530 WARRENSVILLE CENTER RD, SUITE 102, SHAKER HTS, OH 44122-5278
(216) 702-8526
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
E0500069
OH
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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