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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