Organization
IRIS K BRADLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IRIS K BRADLEY LICDC (CLINICAL DIRECTOR)
(254) 226-0228
Entity
Organization
Contact information
Practice address
12 W WENGER RD, ENGLEWOOD, OH 45322-2754
(254) 226-0228
Mailing address
7100 SALEM CROSSING PL, ENGLEWOOD, OH 45322-2568
(254) 226-0228
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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