Organization
BRENDA GLASS MULTIPURPOSE TRAUMA CENTER
Active
Other names
Brenda Glass Multipurpose Trauma Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA GLASS LISW-S (FOUNDER & CEO)
(440) 836-2576
Entity
Organization
Contact information
Practice address
24885 RANDOLPH RD, BEDFORD HTS, OH 44146-3946
(440) 836-2576
Mailing address
24885 RANDOLPH RD, BEDFORD HTS, OH 44146-3946
(440) 836-2576
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0161017
—
OH
Enumeration date
12/04/2019
Last updated
12/04/2019
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