| B. Riley House | |
|
2121 W 117th St Cleveland OH 44111-1642 | |
| (216) 417-4831 | |
| (216) 417-0040 |
| Full Name | B. Riley House |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2121 W 117th St, Cleveland, Ohio |
| Authorized Official Name and Position | Rafael Antonio Correa (FOUNDER/ EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2164174831 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| B. Riley House 2121 W 117th St Cleveland OH 44111-1642 Ph: (216) 417-4831 | B. Riley House 2121 W 117th St Cleveland OH 44111-1642 Ph: (216) 417-4831 |
| NPI Number | 1508557190 |
|---|---|
| Provider Enumeration Date | 05/16/2023 |
| Last Update Date | 09/12/2023 |
| Certification Date | 09/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508557190 | NPI | - | NPPES |
| 0454981 | Medicaid | OH |
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