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Organization

CLEVELAND CHRISTIAN HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MIKE J KRAFCIK CPA (CFO)
(216) 688-4130
Entity
Organization

Contact information

Practice address
11401 LORAIN AVE, CLEVELAND, OH 44111-5428
(216) 671-0799
Mailing address
11401 LORAIN AVE, CLEVELAND, OH 44111-5428
(216) 671-0799

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10258
UPI
OH
Enumeration date
01/19/2007
Last updated
08/10/2016
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