Healthcare Provider Details

I. General information

NPI: 1619812732
Provider Name (Legal Business Name): SCHI & LVTW YOUTH DEVELOPMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10615 LAMONTIER AVE
CLEVELAND OH
44104-4847
US

IV. Provider business mailing address

10615 LAMONTIER AVE
CLEVELAND OH
44104-4847
US

V. Phone/Fax

Practice location:
  • Phone: 216-316-1732
  • Fax:
Mailing address:
  • Phone: 216-316-1732
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. LILLIAN ELIZABETH TOON
Title or Position: EXECUTIVE DIRECTOR
Credential: TOON
Phone: 216-212-9616