Organization
UNITED CEREBRAL PALSY ASSOCIATION OF GREATER CLEVELAND, INC.
Active
Organization
UNITED CEREBRAL PALSY ASSOCIATION OF GREATER CLEVELAND, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA S. OTTER (EXECUTIVE DIRECTOR)
(216) 791-8363
Entity
Organization
Contact information
Practice address
10011 EUCLID AVE, CLEVELAND, OH 44106-4701
(216) 791-8363
(216) 721-3372
Mailing address
10011 EUCLID AVENUE, CLEVELAND, OH 44106-4701
(216) 791-8363
(216) 721-3372
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1800224
I/O WAIVER AND CAFS
OH
05
—
8959042
—
OH
Enumeration date
06/10/2005
Last updated
10/01/2013
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