Healthcare Provider Details

I. General information

NPI: 1316861131
Provider Name (Legal Business Name): 2 YOU COMMUNITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1287 S GREEN RD
SOUTH EUCLID OH
44121-3942
US

IV. Provider business mailing address

1287 S GREEN RD
SOUTH EUCLID OH
44121-3942
US

V. Phone/Fax

Practice location:
  • Phone: 216-402-0502
  • Fax: 216-402-0502
Mailing address:
  • Phone: 216-402-0502
  • Fax: 216-402-0502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: NAKIA HUDSON
Title or Position: PRESIDENT
Credential:
Phone: 216-402-0502