Organization
LEE HARVARD TREATMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELLUS GILREATH MD (PHYSICIAN)
(216) 921-5222
Entity
Organization
Contact information
Practice address
16603 HARVARD AVE, CLEVELAND, OH 44128-2203
(216) 921-5222
(216) 921-6421
Mailing address
16603 HARVARD AVE, CLEVELAND, OH 44128-2203
(216) 921-5222
(216) 921-6421
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
35059795
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0237612
—
OH
05
—
0737331
—
OH
01
—
28658600300
OBWC
OH
Enumeration date
07/06/2007
Last updated
09/26/2008
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