Healthcare Provider Details

I. General information

NPI: 1982286373
Provider Name (Legal Business Name): PATRICK JOHN POST QBHS, CDCA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2021
Last Update Date: 04/25/2021
Certification Date: 04/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1804 E 55TH ST
CLEVELAND OH
44103-3602
US

IV. Provider business mailing address

5904 MILLS CREEK LN
NORTH RIDGEVILLE OH
44039-2540
US

V. Phone/Fax

Practice location:
  • Phone: 216-762-1237
  • Fax:
Mailing address:
  • Phone: 216-509-8630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: