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NPI Code Detail

MEDICARE: COMMUNITY ASSESSMENT AND TREATMENT SERVICES, INC

MEDICARE: COMMUNITY ASSESSMENT AND TREATMENT SERVICES, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1324500000XSubstance Abuse Rehabilitation Facility06663OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497871719
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY ASSESSMENT AND TREATMENT SERVICES, INC
Provider Business Mailing Address
First Line : 8411 BROADWAY AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44105-3932
Country : US
Telephone Number : 216-441-0200
Fax Number : 216-441-3176
Provider Business Practice Location Address
First Line : 8411 BROADWAY AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44105-3932
Country : US
Telephone Number : 216-441-0200
Fax Number : 216-441-3176
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : ROXANNE WALLACE
Credential :
Telephone Number : 216-441-0200
Provider Enumeration Date : 03/21/2007
Last Update Date : 06/09/2015

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Directions to “COMMUNITY ASSESSMENT AND TREATMENT SERVICES, INC ” Practice Location

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