Organization
MORRIS R, PENGILLY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORRIS R PENGILLY LISW (PRESIDENT)
(216) 941-0230
Entity
Organization
Contact information
Practice address
3865 ROCKY RIVER DR, SUITE 2, CLEVELAND, OH 44111-4114
(216) 941-0230
(216) 941-3566
Mailing address
3865 ROCKY RIVER DR, SUITE 2, CLEVELAND, OH 44111-4114
(216) 941-0230
(216) 941-3566
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
I-0001393
OH
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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