Healthcare Provider Details

I. General information

NPI: 1689710907
Provider Name (Legal Business Name): CUYAHOGA BOARD OF COUNTY COMMISSIONERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 05/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 W 25TH ST FL 3
CLEVELAND OH
44113-3102
US

IV. Provider business mailing address

2012 W 25TH ST 6TH FLOOR
CLEVELAND OH
44113-4135
US

V. Phone/Fax

Practice location:
  • Phone: 216-241-3400
  • Fax: 216-861-5067
Mailing address:
  • Phone: 216-241-3400
  • Fax: 216-861-5067

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. WILLIAM M DENIHAN
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 216-241-3400