BUREAU OF DRUG ABUSECLEVELAND TREATMENT CENTERINC. NPI 1619934676

NPI Information

NPI: 1619934676
Provider Name: BUREAU OF DRUG ABUSE,CLEVELAND TREATMENT CENTER,INC.

Doing Business As: BUREAU OF DRUG ABUSE,CLEVELAND TREATMENT CENTER,INC.

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
1127 CARNEGIE AVE
CLEVELAND, OH
ZIP 44115
Phone: (216) 861-4246
Get Directions

BUREAU OF DRUG ABUSE,CLEVELAND TREATMENT CENTER,INC. is a rehabilitation and substance use disorder clinic center in Cleveland, OH. BUREAU OF DRUG ABUSE,CLEVELAND TREATMENT CENTER,INC. NPI is 1619934676. The provider is registered as an organization entity type.
The provider Is Doing Business As Bureau Of Drug Abuse,cleveland Treatment Center,inc..

The provider's business location address is:

1127 CARNEGIE AVE
CLEVELAND, OH
ZIP 44115-805
Phone: (216) 861-4246
Fax: (216) 861-1156

The provider's authorized official is Leonard Charles Lee Collins .
The authorized official title is Executive Director and has the following contact phone number (216) 861-4246.

The enumeration date for this NPI number is 4/26/2006 and was last updated on 4/2/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	020263800	OHIO	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	980477	OTHER	OHIO	ODADAS
2	PC0121741A	OTHER		DEA
3	PC0121741	OTHER		DEA
4	1522088	OTHER		FDA
5	79198	OTHER		CARF (PREVENTION ATOD)
6	1094	MEDICAID	OHIO
7	38743	OTHER		CARF(OPIOIDOTP)
8	35056916	OTHER	OHIO	STATE BOARD OF PHARMACY

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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