| Stella Maris, Inc. | |
|
1320 Washington Ave Cleveland OH 44113-2333 | |
| (216) 781-0550 | |
| Not Available |
| Full Name | Stella Maris, Inc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1320 Washington Ave, Cleveland, Ohio |
| Authorized Official Name and Position | Dennis Madden (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 2167810550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stella Maris, Inc. 1320 Washington Ave Cleveland OH 44113-2333 Ph: (216) 781-0550 | Stella Maris, Inc. 1320 Washington Ave Cleveland OH 44113-2333 Ph: (216) 781-0550 |
| NPI Number | 1366708638 |
|---|---|
| Provider Enumeration Date | 04/11/2012 |
| Last Update Date | 04/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366708638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 0679 (Ohio) | Primary |
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