| Spectrum Of Supportive Services | |
|
2900 Detroit Avenue Third Floor Cleveland OH 44124-2710 | |
| (216) 939-2065 | |
| (216) 939-2077 |
| Full Name | Spectrum Of Supportive Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2900 Detroit Avenue, Cleveland, Ohio |
| Authorized Official Name and Position | Stephen S Morse (PRESIDENT AND CEO) |
| Authorized Official Contact | 2169392065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Of Supportive Services 2900 Detroit Avenue Third Floor Cleveland OH 44124-2710 Ph: (216) 939-2065 | Spectrum Of Supportive Services 2900 Detroit Avenue Third Floor Cleveland OH 44124-2710 Ph: (216) 939-2065 |
| NPI Number | 1407928237 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407928237 | NPI | - | NPPES |
| 10232 | Other | OH | DEPT OF MENTAL HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 0339 (Ohio) | Primary |
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