Organization
JEWISH FAMILY SERVICE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HLAVAC (CFO)
(216) 504-6408
Entity
Organization
Contact information
Practice address
24075 COMMERCE PARK, BEACHWOOD, OH 44122-5846
(216) 292-3999
(216) 378-2785
Mailing address
24075 COMMERCE PARK, BEACHWOOD, OH 44122-5846
(216) 292-3999
(216) 378-2785
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN-359342
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0959566
—
OH
Enumeration date
04/10/2014
Last updated
04/10/2014
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