|
| |
|
14055 Cedar Rd Suite 107 University Heights OH 44118-3337 | |
| (216) 371-3420 | |
| (216) 371-3430 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 14055 Cedar Rd, University Heights, Ohio |
| Authorized Official Name and Position | Ja'nitta Marbury (CLINICAL EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2163713420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
14055 Cedar Rd Suite 107 University Heights OH 44118-3337 Ph: (216) 371-3420 | 14055 Cedar Rd Suite 107 University Heights OH 44118-3337 Ph: (216) 371-3420 |
| NPI Number | 1730213257 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 12/28/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730213257 | NPI | - | NPPES |
| 2585582 | Medicaid | OH | |
| 274742692026 | Other | CARESOURCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Ohio) | Primary |
Premier Aba Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13940 Cedar Rd Ste 303, University Heights, OH 44118 Phone: 216-246-9670 Fax: 216-371-1426 | |
Scott A Soeder Counseling Svcs Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 20620 John Carroll Blvd Ste 202, University Heights, OH 44118 Phone: 330-520-8343 | |
Thrive And Grow Therapy Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2366 S Belvoir Blvd, University Heights, OH 44118 Phone: 206-331-8767 | |