Healthcare Provider Details

I. General information

NPI: 1811024433
Provider Name (Legal Business Name): CUYAHOGA COUNTY TASC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 W LAKESIDE AVE FL 5
CLEVELAND OH
44113-1069
US

IV. Provider business mailing address

310 W LAKESIDE AVE FL 5
CLEVELAND OH
44113-1069
US

V. Phone/Fax

Practice location:
  • Phone: 216-443-8250
  • Fax: 216-698-6924
Mailing address:
  • Phone: 216-443-7265
  • Fax: 216-698-6924

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: MR. GUILLERMO TORRES
Title or Position: DIRECTOR
Credential: LISW-S
Phone: 216-443-8210