Individual
RILEY SIMPLICAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
1804 E 55TH ST, CLEVELAND, OH 44103-3602
(216) 417-4213
Mailing address
1804 E 55TH ST, CLEVELAND, OH 44103-3602
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
CDCA.176354
OH
Other
Enumeration date
04/25/2021
Last updated
04/25/2021
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