| Citizens Academy East | |
|
12523 Woodside Ave Cleveland OH 44108-2422 | |
| (216) 456-2086 | |
| (216) 391-4770 |
| Full Name | Citizens Academy East |
|---|---|
| Speciality | Local Education Agency (lea) |
| Location | 12523 Woodside Ave, Cleveland, Ohio |
| Authorized Official Name and Position | Charles Daane (CFO) |
| Authorized Official Contact | 2164562086 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Citizens Academy East 12523 Woodside Ave Cleveland OH 44108-2422 Ph: (216) 456-2086 | Citizens Academy East 12523 Woodside Ave Cleveland OH 44108-2422 Ph: (216) 456-2086 |
| NPI Number | 1790126878 |
|---|---|
| Provider Enumeration Date | 07/17/2013 |
| Last Update Date | 09/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790126878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Secondary |
| 251300000X | Local Education Agency (lea) | (* (Not Available)) | Primary |
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