Organization
COUNTY OF CUYAHOGA
Active
Other names
Cuyahoga County Board of Mental Retardation Developmental Disabilities
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRENCE RYAN (SUPERINTENDENT)
(216) 241-8230
Entity
Organization
Contact information
Practice address
1275 LAKESIDE AVE E, CLEVELAND, OH 44114-1132
(216) 241-8230
Mailing address
1275 LAKESIDE AVE E, CLEVELAND, OH 44114-1132
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
1800019
OH
261QR0400X
Rehabilitation Clinic/Center
—
—
343900000X
Non-emergency Medical Transport (VAN)
1800019
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0830131
—
OH
Enumeration date
12/01/2006
Last updated
12/22/2008
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