| Bridgeway-unbar | |
|
8301 Detroit Ave Cleveland OH 44102-1805 | |
| (216) 281-2660 | |
| (216) 281-5183 |
| Full Name | Bridgeway-unbar |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8301 Detroit Ave, Cleveland, Ohio |
| Authorized Official Name and Position | Mike J Krafcik (CFO) |
| Authorized Official Contact | 2166884130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgeway-unbar 8301 Detroit Ave Cleveland OH 44102-1805 Ph: (216) 281-2660 | Bridgeway-unbar 8301 Detroit Ave Cleveland OH 44102-1805 Ph: (216) 281-2660 |
| NPI Number | 1275696395 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275696395 | NPI | - | NPPES |
| 01090 | Other | OH | UPI |
| 0959520 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0149 (Ohio) | Primary |
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