| Key Diversions, Llc | |
|
27801 Euclid Avenue #520 Euclid OH 44132 | |
| (216) 800-9711 | |
| (216) 649-0792 |
| Full Name | Key Diversions, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 27801 Euclid Avenue, Euclid, Ohio |
| Authorized Official Name and Position | Jeannette Logan-lane (CEO) |
| Authorized Official Contact | 2168009711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Key Diversions, Llc 27801 Euclid Avenue #520 Euclid OH 44132 Ph: (216) 800-9711 | Key Diversions, Llc 27801 Euclid Avenue #520 Euclid OH 44132 Ph: (216) 800-9711 |
| NPI Number | 1356129456 |
|---|---|
| Provider Enumeration Date | 09/19/2023 |
| Last Update Date | 09/19/2023 |
| Certification Date | 09/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356129456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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