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COMPLETE RECOVERY LLC NPI 1164908067


NPI Information

NPI: 1164908067
Provider Name: COMPLETE RECOVERY LLC

Doing Business As: COMPLETE RECOVERY CLINIC

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 36D2155528

Address:
2618 N MORELAND BLVD
CLEVELAND, OH
ZIP 44120
Phone: (216) 273-8400
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COMPLETE RECOVERY LLC is a community behavioral health in Cleveland, OH. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. COMPLETE RECOVERY LLC NPI is 1164908067. The provider is registered as an organization entity type.
The provider Is Doing Business As Complete Recovery Clinic.

The provider's business location address is:

2618 N MORELAND BLVD
CLEVELAND, OH
ZIP 44120
Phone: (216) 273-8400

The provider's authorized official is Ian Stanich .
The authorized official title is Managing Member and has the following contact phone number (216) 273-8400.

The CLIA number assigned to this NPI record is 36D2155528 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/13/2018 and was last updated on 8/20/2018.


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
1261Q00000XClinic/CenterNo
2261QC1500XClinic/CenterCommunity HealthNo
3261QR0800XClinic/CenterRecovery CareNo
4324500000XSubstance Abuse Rehabilitation FacilityNo
5251S00000XCommunity/Behavioral HealthYes

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: 11/14/2023

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