Organization
CLEAR SPACE SUPERVISION & CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN E LANE-ORENTLIKHER LISW-S (OWNER)
(330) 289-2859
Entity
Organization
Contact information
Practice address
1303 AUTUMN LN, AKRON, OH 44333-2101
(330) 289-2859
Mailing address
1303 AUTUMN LN, AKRON, OH 44333-2101
(330) 289-2859
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0214419
—
OH
Enumeration date
03/19/2020
Last updated
03/19/2020
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