Organization
FRONTLINE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN SWEENEY CMP (ASSISTANT DIRECTOR)
(216) 623-6555
Entity
Organization
Contact information
Practice address
1744 PAYNE AVENUE, CLEVELAND, OH 44114
(216) 623-6555
(216) 623-6539
Mailing address
1744 PAYNE AVENUE, CLEVELAND, OH 44114
(216) 624-6555
(216) 623-6539
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LPN.057396.MEDS
OH
261QM0850X
Adult Mental Health Clinic/Center
PN
OH
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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