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FOR OUR CHILDREN'S ULTIMATE SUCCESS

Active
Other names
F.O.C.U.S.
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KARMEAN ELAINE FOWLKES (CEO)
(216) 254-4143
Entity
Organization

Contact information

Practice address
3530 WARRENSVILLE CENTER ROAD, 101D, SHAKER HEIGHTS, OH 44122
(216) 254-4143
Mailing address
3530 WARRENSVILLE CENTER RD, 101D, SHAKER HEIGHTS, OH 44122-5278
(216) 254-4143

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
1459780
OH
251S00000X
Community/Behavioral Health Agency
Primary
1459780
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0059248
OH
Enumeration date
01/13/2012
Last updated
10/15/2012
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