Organization
COUNTY OF CUYAHOGA
Active
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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