Organization
COMMUNITY ASSESSMENT AND TREATMENT SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANNE WALLACE (CHIEF EXECUTIVE OFFICER)
(216) 441-0200
Entity
Organization
Contact information
Practice address
8411 BROADWAY AVE, CLEVELAND, OH 44105-3932
(216) 441-0200
(216) 441-3637
Mailing address
8411 BROADWAY AVE, CLEVELAND, OH 44105-3932
(216) 441-0200
(216) 441-3637
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
0708
OH
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
0708
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06663
—
OH
Enumeration date
06/10/2015
Last updated
04/21/2017
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