MEDICARE: THE ATTAWAY COMPANY

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	251S00000X	Community/Behavioral Health Agency
3	261QM0850X	Adult Mental Health Clinic/Center
4	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1396433884
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE ATTAWAY COMPANY

Provider Business Mailing Address
First Line	:	PO BOX 43183
Second Line	:
City	:	RICHMOND HEIGHTS
State	:	OH
Zip	:	44143-0183
Country	:	US
Telephone Number	:	440-264-3584
Fax Number	:

Provider Business Practice Location Address
First Line	:	3785 E 142ND ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44128-1006
Country	:	US
Telephone Number	:	440-264-3584
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. ALFRED CHRIS ATTAWAY JR.
Credential	:
Telephone Number	:	440-264-3584

Provider Enumeration Date	:	04/24/2023
Last Update Date	:	04/24/2023

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Directions to “THE ATTAWAY COMPANY ” Practice Location

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