Organization
BUREAU OF DRUG ABUSE,CLEVELAND TREATMENT CENTER,INC.
Active
Parent organization
OHIO BUREAU OF DRUG ABUSE,CLEVELAND TREATMENT CENTER,INC
Other names
Bureau of Drug Abuse,Cleveland Treatment Center,Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
OHIO BUREAU OF DRUG ABUSE,CLEVELAND TREATMENT CENTER,INC
Authorized official
MR. LEONARD CHARLES LEE COLLINS OCPS II (EXECUTIVE DIRECTOR)
(216) 861-4246
Entity
Organization
Contact information
Practice address
1127 CARNEGIE AVE, CLEVELAND, OH 44115-2805
(216) 861-4246
(216) 861-1156
Mailing address
1127 CARNEGIE AVE, CLEVELAND, OH 44115-2805
(216) 861-4246
(216) 861-1156
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
020263800
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1094
—
OH
01
—
1522088
FDA
—
01
—
35056916
STATE BOARD OF PHARMACY
OH
01
—
38743
CARF(OPIOIDOTP)
—
01
—
79198
CARF (PREVENTION ATOD)
—
01
—
980477
ODADAS
OH
Enumeration date
04/26/2006
Last updated
03/07/2023
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