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Organization

CENTER FOR REVOLUTIONARY RELATIONSHIPS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MONICA PADULA PHD. (OWNER/LISW)
(330) 459-6743
Entity
Organization

Contact information

Practice address
3200 W. MARKET ST., STE. 101, FAIRLAWN, OH 44333-3324
(330) 459-6743
(330) 595-8006
Mailing address
3200 W. MARKET ST., STE. 101, FAIRLAWN, OH 44333-3324
(330) 459-6743
(330) 595-8006

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
I0005980
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1871701953
NPI
Enumeration date
09/23/2016
Last updated
03/27/2023
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