Organization
MAGNOLIA CLUBHOUSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORI D'ANGELO PHD (EXECUTIVE DIRECTOR)
(216) 721-3030
Entity
Organization
Contact information
Practice address
11101 MAGNOLIA DR, CLEVELAND, OH 44106-1813
(216) 721-3030
(216) 721-0105
Mailing address
11101 MAGNOLIA DR, CLEVELAND, OH 44106-1813
(216) 721-3030
(216) 721-0105
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/08/2009
Last updated
07/17/2014
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