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
2202 PRAME AVE., CLEVELAND, OH 44109-1626
(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
06/24/2016
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