Organization
CHILDREN'S COMMUNITY ACCESS PROGRAM, INC.
Active
Organization
CHILDREN'S COMMUNITY ACCESS PROGRAM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRY LYNN GIBSON LSW, MSW (CHIEF OPERATING OFFICER)
(216) 361-0633
Entity
Organization
Contact information
Practice address
5000 EUCLID AVE, SUITE 204, CLEVELAND, OH 44103-3749
(216) 361-0633
(216) 361-0644
Mailing address
5000 EUCLID AVE, SUITE 204, CLEVELAND, OH 44103-3749
(216) 361-0633
(216) 361-0644
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
0562
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12463
—
OH
Enumeration date
03/27/2006
Last updated
01/24/2008
Update your record
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