MEDICARE: POSITIVE EDUCATION PROGRAM

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
1	261QM0855X	Adolescent and Children Mental Health Clinic/Center
2	322D00000X	Emotionally Disturbed Childrens' Residential Treatment Facility

General Provider Information

NPI Number	:	1528035631
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POSITIVE EDUCATION PROGRAM

Provider Business Mailing Address
First Line	:	3100 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44115-2508
Country	:	US
Telephone Number	:	216-361-4400
Fax Number	:	216-361-8600

Provider Business Practice Location Address
First Line	:	3100 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44115-2508
Country	:	US
Telephone Number	:	216-361-4400
Fax Number	:	216-361-8600

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	DR. FRANK A. FECSER
Credential	:	PH.D.
Telephone Number	:	216-361-4400

Provider Enumeration Date	:	03/07/2006
Last Update Date	:	09/11/2025

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