Organization
THE VILLAGE CHILDREN AND FAMILY RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHONTE MARIE HENDERSON (EXECUTIVE DIRECTOR)
(216) 307-3557
Entity
Organization
Contact information
Practice address
6151 WILSON MILLS RD STE 311, CLEVELAND, OH 44143-2128
(216) 307-3557
Mailing address
6151 WILSON MILLS RD STE 311, CLEVELAND, OH 44143-2128
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
06/28/2025
Last updated
06/28/2025
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