Organization
SPECTRUM OF SUPPORTIVE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN S MORSE JD (PRESIDENT AND CEO)
(216) 939-2065
Entity
Organization
Contact information
Practice address
2900 DETROIT AVENUE, THIRD FLOOR, CLEVELAND, OH 44124-2710
(216) 939-2065
(216) 939-2077
Mailing address
2900 DETROIT AVENUE, THIRD FLOOR, CLEVELAND, OH 44124-2710
(216) 939-2065
(216) 939-2077
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0339
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10232
DEPT OF MENTAL HEALTH
OH
Enumeration date
11/15/2006
Last updated
08/22/2020
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