| The Black Mental Health Corporation | |
|
13110 Shaker Sq Ste C200 Cleveland OH 44120-2373 | |
| (216) 512-0321 | |
| (216) 370-3192 |
| Full Name | The Black Mental Health Corporation |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 13110 Shaker Sq Ste C200, Cleveland, Ohio |
| Authorized Official Name and Position | Desmond Eugene Yanamayu (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3305184863 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Black Mental Health Corporation 4531 Emerson Rd South Euclid OH 44121-3929 Ph: (330) 518-4863 | The Black Mental Health Corporation 13110 Shaker Sq Ste C200 Cleveland OH 44120-2373 Ph: (216) 512-0321 |
| NPI Number | 1679140040 |
|---|---|
| Provider Enumeration Date | 06/05/2021 |
| Last Update Date | 06/05/2021 |
| Certification Date | 06/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679140040 | NPI | - | NPPES |
| 0443172 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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