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NPI Code Detail

MEDICARE: CUYAHOGA COUNTY DEPARTMENT OF JUSTICE AFFAIRS DIVISION OF TREATMENT SE

MEDICARE: CUYAHOGA COUNTY DEPARTMENT OF JUSTICE AFFAIRS DIVISION OF TREATMENT SE
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1366579021
Entity Type Code : Organization
Provider Name (Legal Business Name) : CUYAHOGA COUNTY DEPARTMENT OF JUSTICE AFFAIRS DIVISION OF TREATMENT SE
Provider Business Mailing Address
First Line : 1276 W 3RD ST STE 319
Second Line :
City : CLEVELAND
State : OH
Zip : 44113-1512
Country : US
Telephone Number : 216-443-7265
Fax Number : 216-698-6524
Provider Business Practice Location Address
First Line : 1276 W 3RD ST STE 319
Second Line :
City : CLEVELAND
State : OH
Zip : 44113-1512
Country : US
Telephone Number : 216-443-3750
Fax Number : 216-698-6524
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. STEVEN J TERRY
Credential :
Telephone Number : 216-443-5905
Provider Enumeration Date : 02/28/2007
Last Update Date : 08/22/2020

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Directions to “CUYAHOGA COUNTY DEPARTMENT OF JUSTICE AFFAIRS DIVISION OF TREATMENT SE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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