Organization
CLEVELAND UMADAOP TREATMENT AND RECOVERY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN DENISE GREENE GREENE (CLINICAL SUPERVISIOR)
(216) 633-8644
Entity
Organization
Contact information
Practice address
1215 E 79TH ST, CLEVELAND, OH 44103-2255
(216) 361-2040
(216) 361-1856
Mailing address
1215 E 79TH ST, CLEVELAND, OH 44103-2255
(216) 361-2040
(216) 361-1856
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/30/2026
Last updated
01/30/2026
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