Organization
12 STEP LIFE BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAMILA SHAFAWN HARDY CPRS, CDCA, CPRS (COUNSELOR/ CASE MANAGER)
(216) 450-9557
Entity
Organization
Contact information
Practice address
3803 W 134TH ST, CLEVELAND, OH 44111-4423
(216) 450-9557
Mailing address
3803 W 134TH ST, CLEVELAND, OH 44111-4423
(216) 450-9557
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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