Organization
OVIATT 26611
Active
Other names
Greenbrook TMS - Independence
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MICHAEL KAZMA (DIRECTOR OF OPERATIONS/CEO)
(216) 219-3453
Entity
Organization
Contact information
Practice address
26611 E OVIATT RD, BAY VILLAGE, OH 44140-2446
(216) 219-3453
Mailing address
26611 E OVIATT RD, BAY VILLAGE, OH 44140-2446
(216) 219-3453
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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