Organization
CLEVELAND THERAPY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLE JEAN WILSON LISW (PARTNER)
(419) 357-4960
Entity
Organization
Contact information
Practice address
24500 CENTER RIDGE RD STE 395, WESTLAKE, OH 44145-5631
(419) 357-4960
Mailing address
24500 CENTER RIDGE RD STE 395, WESTLAKE, OH 44145-5631
(419) 357-4960
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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