Organization
PROJECT LIFT BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATOYA LOGAN MSSA LISW-S (EXECUTIVE DIRECTOR)
(216) 789-0942
Entity
Organization
Contact information
Practice address
4415 EUCLID AVE STE 315, CLEVELAND, OH 44103-3759
(216) 789-0942
(216) 918-4308
Mailing address
4415 EUCLID AVE STE 315, CLEVELAND, OH 44103-3759
(216) 789-0942
(216) 918-4308
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0325117
—
OH
Enumeration date
12/23/2020
Last updated
08/02/2021
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