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General NPI Number Information
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NPI Number | 1750231718
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Entity Type | Organization
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Legal Business Name | CLEVELAND UMADAOP TREATMENT AND RECOVERY SERVICES
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Dates
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Enumeration Date | 01/30/2026
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 1215 E 79TH ST
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City | CLEVELAND
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State | OH
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Zip | 44103-2255
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Country | US
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Telephone | 216-361-2040
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Fax | 216-361-1856
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Provider Business Mailing Address
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Address Line | 1215 E 79TH ST
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City | CLEVELAND
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State | OH
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Zip | 44103-2255
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Country | US
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Telephone | 216-361-2040
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Fax | 216-361-1856
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Authorized Official
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Title or Position | CLINICAL SUPERVISIOR
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Name | CAROLYN DENISE GREENE
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Credential | GREENE
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Telephone | 216-633-8644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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