| Mental Disability Health & Community Residential Llc | |
|
3790 Sherwood Rd South Euclid OH 44121-1940 | |
| (216) 773-0532 | |
| Not Available |
| Full Name | Mental Disability Health & Community Residential Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3790 Sherwood Rd, South Euclid, Ohio |
| Authorized Official Name and Position | Morgan Coleman (AGENCY ADMINISTRATOR) |
| Authorized Official Contact | 2167730532 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Disability Health & Community Residential Llc 3790 Sherwood Rd South Euclid OH 44121-1940 Ph: (216) 773-0532 | Mental Disability Health & Community Residential Llc 3790 Sherwood Rd South Euclid OH 44121-1940 Ph: (216) 773-0532 |
| NPI Number | 1013531219 |
|---|---|
| Provider Enumeration Date | 06/03/2020 |
| Last Update Date | 06/03/2020 |
| Certification Date | 06/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013531219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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