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NPI Code Detail

MEDICARE: HITCHCOCK CENTER FOR WOMEN, INC

MEDICARE: HITCHCOCK CENTER FOR WOMEN, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1324500000XSubstance Abuse Rehabilitation Facility

General Provider Information

NPI Number : 1275598419
Entity Type Code : Organization
Provider Name (Legal Business Name) : HITCHCOCK CENTER FOR WOMEN, INC
Provider Business Mailing Address
First Line : 1227 ANSEL RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44108-3323
Country : US
Telephone Number : 216-421-0662
Fax Number : 216-421-0911
Provider Business Practice Location Address
First Line : 1227 ANSEL RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44108-3323
Country : US
Telephone Number : 216-421-0662
Fax Number : 216-421-0911
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MS. MARY BAZIE
Credential : MSW,OCPSII,LISW
Telephone Number : 216-421-0662
Provider Enumeration Date : 04/19/2006
Last Update Date : 10/16/2008

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Directions to “HITCHCOCK CENTER FOR WOMEN, INC ” Practice Location

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