| Cms Cleveland On Brookpark | |
|
6300 Brookpark Rd Cleveland OH 44129-1219 | |
| (440) 672-6955 | |
| (216) 331-1175 |
| Full Name | Cms Cleveland On Brookpark |
|---|---|
| Speciality | Clinic/center - Methadone |
| Location | 6300 Brookpark Rd, Cleveland, Ohio |
| Authorized Official Name and Position | Alex G Vilchis (CREDENTIALING PROVIDER DATA MANAGER) |
| Authorized Official Contact | 6022488886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cms Cleveland On Brookpark 8444 N 90th St Ste 100 Scottsdale AZ 85258-4437 Ph: (804) 942-4974 | Cms Cleveland On Brookpark 6300 Brookpark Rd Cleveland OH 44129-1219 Ph: (440) 672-6955 |
| NPI Number | 1730870163 |
|---|---|
| Provider Enumeration Date | 05/17/2023 |
| Last Update Date | 05/30/2024 |
| Certification Date | 05/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730870163 | NPI | - | NPPES |
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