| First And Twenty Five Llc | |
|
1507 Saint Clair Ave Ne Cleveland OH 44114-2003 | |
| (216) 417-0047 | |
| (216) 916-4925 |
| Full Name | First And Twenty Five Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1507 Saint Clair Ave Ne, Cleveland, Ohio |
| Authorized Official Name and Position | Theodore Ginn (OWNER) |
| Authorized Official Contact | 2164170047 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First And Twenty Five Llc 1507 Saint Clair Ave Ne Cleveland OH 44114-2003 Ph: (216) 417-0047 | First And Twenty Five Llc 1507 Saint Clair Ave Ne Cleveland OH 44114-2003 Ph: (216) 417-0047 |
| NPI Number | 1164068540 |
|---|---|
| Provider Enumeration Date | 11/21/2019 |
| Last Update Date | 09/18/2024 |
| Certification Date | 09/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164068540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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