Organization
SELF CARE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONARD IDADA (OWNER/MEMBER)
(216) 566-4018
Entity
Organization
Contact information
Practice address
20525 DETROIT RD STE 4, ROCKY RIVER, OH 44116-2444
(216) 566-4018
Mailing address
20525 DETROIT RD STE 4, ROCKY RIVER, OH 44116-2444
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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