Individual
ALBERT BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1507 SAINT CLAIR AVE NE, CLEVELAND, OH 44114-2003
(216) 451-5020
Mailing address
23720 COLBOURNE RD, EUCLID, OH 44123-2428
(404) 484-8146
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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