| Northeast Reintegration Center | |
|
2675 E 30th St Cleveland OH 44115-3000 | |
| (216) 771-6460 | |
| (216) 623-0992 |
| Full Name | Northeast Reintegration Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2675 E 30th St, Cleveland, Ohio |
| Authorized Official Name and Position | Grace Motyka (PSYCHOLOGIST) |
| Authorized Official Contact | 2167716460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Reintegration Center 2675 E 30th St Cleveland OH 44115-3000 Ph: (216) 771-6460 | Northeast Reintegration Center 2675 E 30th St Cleveland OH 44115-3000 Ph: (216) 771-6460 |
| NPI Number | 1013319599 |
|---|---|
| Provider Enumeration Date | 09/16/2014 |
| Last Update Date | 09/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013319599 | NPI | - | NPPES |
| GTMOTYKA | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 5787 (Ohio) | Primary |
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