Organization
A NEW BEGINNING SOBER LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHANCE BUTTS (EXECUTIVE DIRECTOR)
(216) 641-6277
Entity
Organization
Contact information
Practice address
11402 AVON AVE, CLEVELAND, OH 44105-4304
(216) 641-6277
(216) 991-4320
Mailing address
11402 AVON AVE, CLEVELAND, OH 44105-4304
(216) 641-6277
(216) 991-4320
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1457028
OH
Other
Enumeration date
10/18/2010
Last updated
10/29/2010
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