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EASTSIDE CATHOLIC CENTER & SHELTER NPI 1104927417


NPI Information

NPI: 1104927417
Provider Name: EASTSIDE CATHOLIC CENTER & SHELTER
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
11701 SHAKER BLVD
CLEVELAND, OH
ZIP 44120
Phone: (216) 231-5556
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EASTSIDE CATHOLIC CENTER & SHELTER is a substance abuse rehabilitation facility in Cleveland, OH. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. EASTSIDE CATHOLIC CENTER & SHELTER NPI is 1104927417. The provider is registered as an organization entity type.

The provider's business location address is:

11701 SHAKER BLVD
CLEVELAND, OH
ZIP 44120-956
Phone: (216) 231-5556
Fax: (216) 231-3993

The provider's authorized official is Michelle Burley-keys .
The authorized official title is Executive Director and has the following contact phone number (216) 231-5556.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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