MEDICARE: TRIAD CENTER

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	261QD1600X	Developmental Disabilities Clinic/Center

General Provider Information

NPI Number	:	1801596069
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRIAD CENTER

Provider Business Mailing Address
First Line	:	2358 HIGHPOINT RD
Second Line	:
City	:	CUYAHOGA FALLS
State	:	OH
Zip	:	44223-1142
Country	:	US
Telephone Number	:	216-298-3663
Fax Number	:

Provider Business Practice Location Address
First Line	:	2358 HIGHPOINT RD
Second Line	:
City	:	CUYAHOGA FALLS
State	:	OH
Zip	:	44223-1142
Country	:	US
Telephone Number	:	216-298-3663
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	GELISA GREER
Credential	:
Telephone Number	:	216-600-8425

Provider Enumeration Date	:	03/07/2023
Last Update Date	:	03/07/2023

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Directions to “TRIAD CENTER ” Practice Location

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