Healthcare Provider Details
I. General information
NPI: 1790884716
Provider Name (Legal Business Name): DAILY BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/22/2006
Last Update Date: 01/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
14538 GRAPELAND AVE
CLEVELAND OH
44111-2107
US
IV. Provider business mailing address
14538 GRAPELAND AVE
CLEVELAND OH
44111-2107
US
V. Phone/Fax
- Phone: 216-252-1399
- Fax: 216-252-1409
- Phone: 216-252-1399
- Fax: 216-252-1409
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC2200X |
| Taxonomy | Clinical Child & Adolescent Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CARA
E
DAILY
Title or Position: PRESIDENT
Credential: PH.D.
Phone: 216-252-1399