Healthcare Provider Details

I. General information

NPI: 1932798501
Provider Name (Legal Business Name): APPLEWOOD CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2021
Last Update Date: 01/18/2021
Certification Date: 08/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3518 W 25TH ST
CLEVELAND OH
44109-1951
US

IV. Provider business mailing address

3518 W 25TH ST
CLEVELAND OH
44109-1951
US

V. Phone/Fax

Practice location:
  • Phone: 216-741-2241
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. RACHEL GREEN
Title or Position: PROGRAM MANAGER CLINICAL SERVICES
Credential: LPCC-S
Phone: 216-865-1972