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NPI Code Detail

MEDICARE: PEOPLE PLACES AND DREAMS LLC

MEDICARE: PEOPLE PLACES AND DREAMS LLC
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
1101YM0800XMental Health Counselor
2261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number : 1932719481
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEOPLE PLACES AND DREAMS LLC
Provider Business Mailing Address
First Line : 3214 PROSPECT AVE E
Second Line :
City : CLEVELAND
State : OH
Zip : 44115-2614
Country : US
Telephone Number : 216-910-9015
Fax Number :
Provider Business Practice Location Address
First Line : 3214 PROSPECT AVE E
Second Line :
City : CLEVELAND
State : OH
Zip : 44115-2614
Country : US
Telephone Number : 216-910-9015
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : NAFISAH ALIM
Credential : LCDC III
Telephone Number : 216-910-9015
Provider Enumeration Date : 08/07/2020
Last Update Date : 01/30/2023

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Directions to “PEOPLE PLACES AND DREAMS LLC ” Practice Location

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