Healthcare Provider Details

I. General information

NPI: 1841458791
Provider Name (Legal Business Name): ACHIEVEMENT CENTERS FOR CHILDREN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2008
Last Update Date: 02/05/2025
Certification Date: 02/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4255 NORTHFIELD RD
HIGHLAND HILLS OH
44128-2811
US

IV. Provider business mailing address

PO BOX 77045
CLEVELAND OH
44194-0015
US

V. Phone/Fax

Practice location:
  • Phone: 216-292-9700
  • Fax: 216-378-4613
Mailing address:
  • Phone: 216-292-9700
  • Fax: 216-378-4613

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: KELLY M BASILE
Title or Position: BILLING AND AR MGR
Credential:
Phone: 216-292-9700