| Project Lift Behavioral Health Services | |
|
4415 Euclid Ave Ste 315 Cleveland OH 44103-3759 | |
| (216) 789-0942 | |
| (216) 918-4308 |
| Full Name | Project Lift Behavioral Health Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4415 Euclid Ave Ste 315, Cleveland, Ohio |
| Authorized Official Name and Position | Latoya Logan (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2167890942 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Project Lift Behavioral Health Services 4415 Euclid Ave Ste 315 Cleveland OH 44103-3759 Ph: (216) 789-0942 | Project Lift Behavioral Health Services 4415 Euclid Ave Ste 315 Cleveland OH 44103-3759 Ph: (216) 789-0942 |
| NPI Number | 1326635475 |
|---|---|
| Provider Enumeration Date | 12/23/2020 |
| Last Update Date | 08/02/2021 |
| Certification Date | 08/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326635475 | NPI | - | NPPES |
| 0325117 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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