Organization
CITY OF CLEVELAND
Active
Other names
Cleveland Department of Public Health, Office of Mental Health and Sub
Organization subpart
No
Provider details
NPI number
Authorized official
MATT CARROLL (DIRECTOR, CDPH)
(216) 664-3790
Entity
Organization
Contact information
Practice address
4041 NORTHFIELD RD, CLEVELAND HOUSE OF CORRECTION TREATMENT PROGRAM, HIGHLAND HILLS, OH 44122-7001
(216) 765-6960
Mailing address
1925 SAINT CLAIR AVE NE, CLEVELAND DEPARTMENT OF PUBLIC HEALTH, CLEVELAND, OH 44114-2028
(216) 664-3920
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6799
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6799
ODADAS CERTFIFICATION
OH
Enumeration date
12/26/2006
Last updated
08/22/2020
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