Organization
CLEVELAND VOCATIONAL INDUSTRIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN L COOK (PROGRAM DIRECTOR)
(704) 471-0606
Entity
Organization
Contact information
Practice address
650 N POST RD, SHELBY, NC 28150-4964
(704) 471-0606
(704) 480-8555
Mailing address
650 N POST RD, SHELBY, NC 28150-4964
(704) 471-0606
(704) 480-8555
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
MHL023002
NC
251C00000X
Developmentally Disabled Services Day Training Agency
MHL023002
NC
251S00000X
Community/Behavioral Health Agency
Primary
MHL023-002
NC
251V00000X
Voluntary or Charitable Agency
MHL023002
NC
261Q00000X
Clinic/Center
MHL023-002
NC
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301076
—
NC
Enumeration date
06/06/2006
Last updated
09/18/2017
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