Organization
FAMILY PRIDE OF NORTHEAST OHIO INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA L. DAUGHERTY MSSA, LISW-S (EXECUTIVE DIRECTOR)
(440) 286-1553
Entity
Organization
Contact information
Practice address
695 SOUTH STREET, SUITE 6, CHARDON, OH 44024
(440) 286-1553
(440) 286-1318
Mailing address
695 SOUTH STREET, SUITE 6, CHARDON, OH 44024
(440) 286-1553
(440) 286-1318
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
I 004456
OH
1041C0700X
Clinical Social Worker
—
OH
251S00000X
Community/Behavioral Health Agency
Primary
010590
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
590
OHIO DEPARTMENT OF MENTAL
OH
Enumeration date
04/20/2006
Last updated
04/02/2024
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