Organization
HISPANIC UMADOAP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEATRICE SHEPHERD CDCA (RESIDENTIAL ADVOCATE/FACILITATOR)
(216) 459-1222
Entity
Organization
Contact information
Practice address
3305 W 25TH ST, CLEVELAND, OH 44109-1613
(216) 459-1222
(216) 472-3599
Mailing address
2202 PRAME AVE, CLEVELAND, OH 44109-1626
(216) 459-1222
(216) 472-3599
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
130543
OH
Other
Enumeration date
06/13/2016
Last updated
07/02/2026
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