STELLA MARIS INC. NPI 1487927802

NPI Information

STELLA MARIS, INC. is an adult mental health clinic center in Cleveland, OH. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. STELLA MARIS, INC. NPI is 1487927802. The provider is registered as an organization entity type.
The provider Other Name Is Stella Maris.

The provider's business location address is:

1302 WINSLOW AVE
CLEVELAND, OH
ZIP 44113-336
Phone: (216) 781-0550
Fax: (216) 781-7501

The provider's authorized official is Deborah A. Bridwell .
The authorized official title is Executive Director and has the following contact phone number (216) 727-2058.

The CLIA number assigned to this NPI record is 36D2146542 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/15/2012 and was last updated on 5/16/2017.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.