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Contact Information

FAMILY PRIDE OF NORTHEAST OHIO INCORPORATED
695 SOUTH STREET
SUITE 6
CHARDON, OH44024
 Phone: 440-286-1553
 Fax: 440-286-1318
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for FAMILY PRIDE OF NORTHEAST OHIO INCORPORATED

NPI # 1427013556
LBN Legal business name FAMILY PRIDE OF NORTHEAST OHIO INCORPORATED
Authorized official ANGELA DAUGHERTY - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/20/2006
Last updated 04/02/2024 - About 2 years ago
Identifiers
OH License # 010590
OH License # I 004456
OH Other 590 OHIO DEPARTMENT OF MENTAL
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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