B. RILEY SOBER HOUSE NPI 1508557190

NPI Information

NPI: 1508557190
Provider Name: B. RILEY SOBER HOUSE

Doing Business As: B. RILEY HOUSE

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2121 W 117TH ST
CLEVELAND, OH
ZIP 44111
Phone: (216) 417-4831
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B. RILEY SOBER HOUSE is a mental health (including community mental health center) clinic center in Cleveland, OH. B. RILEY SOBER HOUSE NPI is 1508557190. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As B. Riley House.

The provider's business location address is:

2121 W 117TH ST
CLEVELAND, OH
ZIP 44111-642
Phone: (216) 417-4831
Fax: (216) 417-0040

The provider's authorized official is Rafael Antonio Correa .
The authorized official title is Founder/ Executive Director and has the following contact phone number (216) 417-4831.

The enumeration date for this NPI number is 5/16/2023 and was last updated on 9/12/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YM0800X	Counselor	Mental Health	No
2	251S00000X	Community/Behavioral Health		No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0454981	MEDICAID	OHIO

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: 5/5/2024

NPI Synchronization or Removal

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