Healthcare Provider Details

I. General information

NPI: 1083551436
Provider Name (Legal Business Name): CAMERON WILLIAMS JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4791 WETHERSFIELD CT
CLEVELAND OH
44143-1471
US

IV. Provider business mailing address

4791 WETHERSFIELD CT
CLEVELAND OH
44143-1471
US

V. Phone/Fax

Practice location:
  • Phone: 216-333-7486
  • Fax: 216-333-7486
Mailing address:
  • Phone: 216-333-7486
  • Fax: 216-333-7486

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: