Ccc Covenant | |
1515 W 29th St Cleveland OH 44113-2906 | |
(216) 391-2030 | |
Not Available |
Full Name | Ccc Covenant |
---|---|
Speciality | Community/behavioral Health |
Location | 1515 W 29th St, Cleveland, Ohio |
Authorized Official Name and Position | Patrick Gareau (PRESIDENT/CEO) |
Authorized Official Contact | 2163342901 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ccc Covenant 7911 Detroit Ave Cleveland OH 44102-2815 Ph: (216) 334-2901 | Ccc Covenant 1515 W 29th St Cleveland OH 44113-2906 Ph: (216) 391-2030 |
NPI Number | 1740613967 |
---|---|
Provider Enumeration Date | 08/12/2013 |
Last Update Date | 08/12/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740613967 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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