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Organization

RISER SUPPORTIVE SERVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRISTOPHER HAWKINS PHD, PCC-S (COUNSELOR EXECUTIVE DIRECTOR)
(216) 365-8298
Entity
Organization

Contact information

Practice address
19312 MILAN DRIVE, MAPLE HTS, OH 44137
(216) 365-8298
Mailing address
19312 MILAN DRIVE, MAPLE HTS, OH 44137
(216) 365-8298

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
E0003128
OH

Other

Enumeration date
04/29/2016
Last updated
04/29/2016
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