Taking Back Our Youth
Peer Specialist in Cleveland, OH. Organization (NPI-2).
NPI number1093585366
StatusActive
Last updated in NPPESJan 8, 2024
Details
- NPI
- 1093585366
- Entity type
- Organization (NPI-2)
- Legal business name
- Taking Back Our Youth
- Organization subpart
- No
- Enumeration date
- Jan 8, 2024
- Certification date
- Jan 7, 2024
- Last updated
- Jan 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
| 171W00000X | Contractor | – | – |
Other names
- Tboy (Doing Business As)
Practice location
2012 W 25th St Fl 7Cleveland, OH 44113-4135
Phone 216-799-9944
Mailing address
3441 W 52nd StCleveland, OH 44102-5817
Phone 216-799-9944
Authorized official
Makanya Latasha Sarvera Smith
Executive Director
2167999944
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