| Citizens Academy Southeast | |
|
15700 Lotus Drive Cleveland OH 44128 | |
| (216) 456-2086 | |
| (216) 391-4770 |
| Full Name | Citizens Academy Southeast |
|---|---|
| Speciality | Local Education Agency (lea) |
| Location | 15700 Lotus Drive, Cleveland, Ohio |
| Authorized Official Name and Position | Celeste Farmer (TREASURER) |
| Authorized Official Contact | 2163914770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Citizens Academy Southeast 15700 Lotus Drive Cleveland OH 44128 Ph: (216) 456-2086 | Citizens Academy Southeast 15700 Lotus Drive Cleveland OH 44128 Ph: (216) 456-2086 |
| NPI Number | 1073062337 |
|---|---|
| Provider Enumeration Date | 09/28/2016 |
| Last Update Date | 03/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073062337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Secondary |
| 251300000X | Local Education Agency (lea) | (* (Not Available)) | Primary |
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