The Past Project
Community/Behavioral Health in Maple Heights, OH. Organization (NPI-2).
NPI number1629520754
StatusActive
Last updated in NPPESOct 24, 2016
Details
- NPI
- 1629520754
- Entity type
- Organization (NPI-2)
- Legal business name
- The Past Project
- Organization subpart
- No
- Enumeration date
- Oct 24, 2016
- Last updated
- Oct 24, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 1.1302427 | OH | Yes |
Other names
- Prevailing And Surviving Together (Other Name)
Practice location
16254 Libby RdMaple Heights, OH 44137-1222
Phone 216-338-7907
Mailing address
5303 Northfield Rd Apt 505Bedford Hts, OH 44146-1116
Phone 216-404-9243
Authorized official
Mary Ellen Dale
President - Executive Director
2164049243
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