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Organization

HISPANIC UMADOAP

Active
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Organization

HISPANIC UMADOAP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. VICTOR OWEN PHILLIPS CDCA (COUNSELOR/CASE MANAGER)
(216) 351-3833
Entity
Organization

Contact information

Practice address
3305 W 25TH ST, CLEVELAND, OH 44109-1613
(216) 351-3833
(216) 472-3599
Mailing address
2202 PRAME AVE, CLEVELAND, OH 44109-1626
(216) 351-3833
(216) 472-3599

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
120988
OH

Other

Enumeration date
06/24/2016
Last updated
07/02/2026
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