Organization
FORTALEZA,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY VILLA (CEO)
(440) 324-7406
Entity
Organization
Contact information
Practice address
6061 S BROADWAY, LORAIN, OH 44053-3818
(440) 375-5342
Mailing address
6061 S BROADWAY, LORAIN, OH 44053-3818
(440) 375-5342
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0123307
—
OH
05
—
0284736
—
OH
Enumeration date
01/08/2018
Last updated
04/24/2026
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