Organization
STELLA MARIS, INC.
Active
Other names
Stella Maris
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH A. BRIDWELL PHD (EXECUTIVE DIRECTOR)
(216) 727-2058
Entity
Organization
Contact information
Practice address
1302 WINSLOW AVE, CLEVELAND, OH 44113-2336
(216) 781-0550
(216) 781-7501
Mailing address
1320 WASHINGTON AVE, CLEVELAND, OH 44113-2333
(216) 781-0550
(216) 781-7501
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
0679
OH
Other
Enumeration date
02/15/2012
Last updated
05/16/2017
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