Organization
CATHOLIC CHARITIES SERVIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAXIMINO CORTES LISW-S, LICDC (PROGRAM DIRECTOR)
(440) 843-5620
Entity
Organization
Contact information
Practice address
6753 STATE RD, CLEVELAND, OH 44134-4517
(440) 843-5620
(440) 843-3247
Mailing address
6753 STATE ROAD, PARMADALE/CATHOLIC CHARIITES SERVICES, PARMA, OH 44134-4596
(440) 843-5620
(440) 843-3247
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
I.0008678
OH
Other
Enumeration date
07/10/2008
Last updated
07/10/2008
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