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850 Euclid Avenue Ste 819 Cleveland OH 44114-3315 | |
| (330) 646-7677 | |
| (833) 471-6161 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 850 Euclid Avenue Ste 819, Cleveland, Ohio |
| Authorized Official Name and Position | Ashley Michelle Smith (OWNER/CEO/APRN) |
| Authorized Official Contact | 3306467667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
850 Euclid Avenue Ste 819 Cleveland OH 44114-3315 Ph: (330) 646-7677 | 850 Euclid Avenue Ste 819 Cleveland OH 44114-3315 Ph: (330) 646-7677 |
| NPI Number | 1083315352 |
|---|---|
| Provider Enumeration Date | 03/14/2023 |
| Last Update Date | 07/17/2024 |
| Certification Date | 07/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083315352 | NPI | - | NPPES |
| 0014822 | Medicaid | OH |
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