Organization · NPI-2

12 Step Life Behavioral Health

Community/Behavioral Health · Cleveland, OH

NPI number1447017207
StatusActive
Last updated in NPPESFeb 28, 2024

Details

NPI
1447017207
Entity type
Organization (NPI-2)
Legal business name
12 Step Life Behavioral Health
Organization subpart
No
Enumeration date
Feb 28, 2024
Certification date
Feb 28, 2024
Last updated
Feb 28, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes
251B00000X Case Management––

Practice location

3803 W 134th St
Cleveland, OH 44111-4423

Phone 216-450-9557

Mailing address

3803 W 134th St
Cleveland, OH 44111-4423

Phone 216-450-9557

Authorized official

Jamila Shafawn Hardy
Counselor/ Case Manager
2164509557

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