Organization
JASON RECOVERY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA SULLIVAN (CREDENTIALING SPECIALIST)
(440) 453-0754
Entity
Organization
Contact information
Practice address
18489 PRESTON RD, CLEVELAND, OH 44128-4301
(216) 854-3058
Mailing address
18489 PRESTON RD, CLEVELAND, OH 44128-4301
(216) 854-3058
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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