Organization
ST VINCENT CHARITY MEDICAL CENTER
Active
Other names
St Vincent Charity Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY RAUH (CHIEF ADMINISTRATIVE OFFICER)
(216) 363-3000
Entity
Organization
Contact information
Practice address
2351 E 22ND ST, CLEVELAND, OH 44115-3111
(216) 363-2538
(216) 694-4604
Mailing address
2351 E 22ND ST, CLEVELAND, OH 44115-3111
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/22/2022
Last updated
11/22/2022
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