Organization
KEY DECISIONS/POSITIVE CHOICES
Active
Other names
Key Decisions
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OWEN R TAYLOR LICDC (EXECUTIVE DIRECTOR)
(216) 391-0977
Entity
Organization
Contact information
Practice address
3030 EUCLID AVE, SUITE 410, CLEVELAND, OH 44115-2530
(216) 391-0977
(216) 391-0978
Mailing address
PO BOX 10844, CLEVELAND, OH 44110-0844
(216) 391-0977
(216) 391-0978
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
12510
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2899181
—
OH
Enumeration date
05/17/2012
Last updated
05/17/2012
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