Organization
BLUSTONE MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CIARRA TANAY BRADLEY (PRESIDENT 1)
(216) 203-3848
Entity
Organization
Contact information
Practice address
13446 CEDAR RD, CLEVELAND HEIGHTS, OH 44118-2921
(216) 203-3848
Mailing address
420 E 270TH ST, EUCLID, OH 44132-1708
(216) 203-3848
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
11/01/2024
Last updated
11/26/2024
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