Organization
PROVIDENCE HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE LEEK (PRESIDENT AND CEO)
(216) 651-5982
Entity
Organization
Contact information
Practice address
2050 W 32ND ST, CLEVELAND, OH 44113-4018
(216) 651-5982
Mailing address
2050 W 32ND ST, CLEVELAND, OH 44113-4018
(216) 651-5982
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
OH
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
08/17/2022
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