| Morris R, Pengilly Pa | |
|
3865 Rocky River Dr Suite 2 Cleveland OH 44111-4114 | |
| (216) 941-0230 | |
| (216) 941-3566 |
| Full Name | Morris R, Pengilly Pa |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3865 Rocky River Dr, Cleveland, Ohio |
| Authorized Official Name and Position | Morris R Pengilly (PRESIDENT) |
| Authorized Official Contact | 2169410230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Morris R, Pengilly Pa 3865 Rocky River Dr Suite 2 Cleveland OH 44111-4114 Ph: (216) 941-0230 | Morris R, Pengilly Pa 3865 Rocky River Dr Suite 2 Cleveland OH 44111-4114 Ph: (216) 941-0230 |
| NPI Number | 1417149295 |
|---|---|
| Provider Enumeration Date | 08/15/2007 |
| Last Update Date | 08/15/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417149295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | I-0001393 (Ohio) | Primary |
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