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Organization

CLEVELAND EASTSIDE EX-OFFENDER COALITION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CAROLJEAN GATES REVEREND (EXECUTIVE DIRECTOR)
(216) 721-4267
Entity
Organization

Contact information

Practice address
12200 FAIRHILL RD STE B400, CLEVELAND, OH 44120-1058
(216) 721-4267
(216) 721-4270
Mailing address
12200 FAIRHILL ROAD,, SUITE B400, CLEVELAND, OH 44120-1058
(216) 721-4267
(216) 721-4270

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
09/01/2016
Last updated
09/01/2016
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