Organization
RECOVERY RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE LANGE (CONTROLLER)
(216) 431-4131
Entity
Organization
Contact information
Practice address
5310 CARNEGIE AVE, CLEVELAND, OH 44103-4360
(216) 431-4131
(216) 431-4151
Mailing address
4269 PEARL RD, CLEVELAND, OH 44109-4234
(216) 431-4131
(216) 431-4151
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
493564
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2408791
—
OH
05
—
2863736
—
OH
Enumeration date
09/09/2015
Last updated
09/09/2015
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