Organization · NPI-2

Cleveland Christian Home

Community Based Residential Treatment Facility, Mental Illness · Cleveland, OH

NPI number1487922860
StatusActive
Last updated in NPPESDec 13, 2011

Details

NPI
1487922860
Entity type
Organization (NPI-2)
Legal business name
Cleveland Christian Home
Organization subpart
No
Enumeration date
Dec 13, 2011
Last updated
Dec 13, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320800000X Community Based Residential Treatment Facility, Mental Illness––Yes

Practice location

11401 Lorain Ave
Cleveland, OH 44111-5428

Phone 216-688-4129 · Fax 216-941-2080

Mailing address

3146 Scranton Rd
Cleveland, OH 44109-1652

Phone 216-688-4129 · Fax 216-941-2080

Authorized official

David Lundeen
Ceo
2166710997

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