Healthcare Provider Details

I. General information

NPI: 1841550175
Provider Name (Legal Business Name): CENTER FOR FAMILIES AND CHILDREN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2012
Last Update Date: 05/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 EUCLID AVE
CLEVELAND OH
44103-3736
US

IV. Provider business mailing address

4500 EUCLID AVE
CLEVELAND OH
44103-3736
US

V. Phone/Fax

Practice location:
  • Phone: 216-432-7200
  • Fax: 216-432-7253
Mailing address:
  • Phone: 216-432-7200
  • Fax: 216-432-7253

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. ANN HOLT-WIOLLAND
Title or Position: CFO
Credential:
Phone: 216-325-9270