| Carrington Youth Academy | |
|
2114 Noble Rd Cleveland OH 44112-1725 | |
| (216) 268-2400 | |
| (216) 268-2460 |
| Full Name | Carrington Youth Academy |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2114 Noble Rd, Cleveland, Ohio |
| Authorized Official Name and Position | Bernard F Pawlikowsky (ADMINISTRATOR) |
| Authorized Official Contact | 2162682400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carrington Youth Academy 2114 Noble Rd Cleveland OH 44112-1725 Ph: (216) 268-2400 | Carrington Youth Academy 2114 Noble Rd Cleveland OH 44112-1725 Ph: (216) 268-2400 |
| NPI Number | 1811238215 |
|---|---|
| Provider Enumeration Date | 03/09/2013 |
| Last Update Date | 05/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811238215 | NPI | - | NPPES |
| 0081391 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0698 (Ohio) | Primary |
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