Organization
INTERVENTION FOR PEACE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA DAVIDSON (DIRECTOR OF OPERATIONS)
(330) 725-1298
Entity
Organization
Contact information
Practice address
689 W LIBERTY ST STE 7, MEDINA, OH 44256-2268
(330) 725-1298
Mailing address
689 W LIBERTY ST STE 7, MEDINA, OH 44256-2268
(330) 725-1298
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0965451
—
OH
Enumeration date
10/31/2022
Last updated
06/18/2024
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