Organization
STELLA MARIS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGARET ROCHE (EXECUTIVE DIRECTOR)
(216) 781-0550
Entity
Organization
Contact information
Practice address
1320 WASHINGTON AVE, CLEVELAND, OH 44113-2333
(216) 781-0550
(216) 781-7501
Mailing address
1320 WASHINGTON AVE, CLEVELAND, OH 44113-2333
(216) 781-0550
(216) 781-7501
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1072
UPI
OH
Enumeration date
07/24/2006
Last updated
07/19/2007
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