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Organization

STELLA MARIS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DENNIS MADDEN (CHIEF OPERATING OFFICER)
(216) 781-0550
Entity
Organization

Contact information

Practice address
1320 WASHINGTON AVE, CLEVELAND, OH 44113-2333
(216) 781-0550
Mailing address
1320 WASHINGTON AVE, CLEVELAND, OH 44113-2333
(216) 781-0550

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
0679
OH

Other

Enumeration date
04/11/2012
Last updated
04/11/2012
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