MEDICARE: ABW 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
1	175T00000X	Peer Specialist

General Provider Information

NPI Number	:	1982420436
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABW INC

Provider Business Mailing Address
First Line	:	2221 BROADVIEW RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44109-4143
Country	:	US
Telephone Number	:	216-333-6233
Fax Number	:

Provider Business Practice Location Address
First Line	:	5360 BROADVIEW RD # 103
Second Line	:
City	:	PARMA
State	:	OH
Zip	:	44134-7804
Country	:	US
Telephone Number	:	216-744-4232
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	DAVID PINES
Credential	:	LCDC III
Telephone Number	:	216-333-6233

Provider Enumeration Date	:	12/02/2024
Last Update Date	:	07/12/2025

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Directions to “ABW INC ” Practice Location

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