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Organization

FRONTLINE SERVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. YOLANDA YVETTE NEAL RN (STAFF NURSE)
(216) 651-9950
Entity
Organization

Contact information

Practice address
8315 DETROIT AVE, CLEVELAND, OH 44102-1805
(216) 651-9950
(216) 651-9951
Mailing address
1744 PAYNE AVE, CLEVELAND, OH 44114-2910
(216) 623-6555

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
RN322679
OH

Other

Enumeration date
03/21/2017
Last updated
03/21/2017
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