Organization
HENRY JOHNSON CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA ISOM (DIRECTOR)
(216) 592-8521
Entity
Organization
Contact information
Practice address
291 E 222ND ST, EUCLID, OH 44123-1718
(216) 592-8521
Mailing address
291 E 222ND ST, EUCLID, OH 44123-1718
(216) 592-8521
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
06/03/2010
Last updated
05/29/2024
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