Organization
HISPANIC URBAN MINORITY ALCHOLISM AND DRUG ABUSE OUTREACH PROGRAM
Active
Other names
Hispanic UMADAOP, Hispanic UMADAOP, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SIOBHAN MALAVE LISW-S, LICDC (CLINICAL DIRECTOR)
(216) 459-1222
Entity
Organization
Contact information
Practice address
3305 W 25TH ST, CLEVELAND, OH 44109-1613
(216) 459-1222
(216) 459-2696
Mailing address
3305 W 25TH ST, CLEVELAND, OH 44109-1613
(216) 459-1222
(216) 459-2696
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13366
OH
324500000X
Substance Abuse Rehabilitation Facility
00978
OH
Other
Enumeration date
09/28/2006
Last updated
09/03/2025
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