| City Of Cleveland | |
| 
					4041 Northfield Rd Cleveland House Of Correction Treatment Program Highland Hills OH 44122-7001  | |
| (216) 765-6960 | |
| Not Available | 
| Full Name | City Of Cleveland | 
|---|---|
| Speciality | Community/behavioral Health | 
| Location | 4041 Northfield Rd, Highland Hills, Ohio | 
| Authorized Official Name and Position | Matt Carroll (DIRECTOR, CDPH) | 
| Authorized Official Contact | 2166643790 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| City Of Cleveland 1925 Saint Clair Ave Ne Cleveland Department Of Public Health Cleveland OH 44114-2028 Ph: (216) 664-3920  | City Of Cleveland 4041 Northfield Rd Cleveland House Of Correction Treatment Program Highland Hills OH 44122-7001 Ph: (216) 765-6960  | 
| NPI Number | 1306901996 | 
|---|---|
| Provider Enumeration Date | 12/26/2006 | 
| Last Update Date | 08/22/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1306901996 | NPI | - | NPPES | 
| 6799 | Other | OH | ODADAS CERTFIFICATION | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6799 (Ohio) | Primary | 
Highland Springs Physician Group, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4199 Millpond Dr, Highland Hills, OH 44122 Phone: 216-242-4760  | |
Achievement Centers For Children Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4255 Northfield Rd, Highland Hills, OH 44128 Phone: 216-292-9700 Fax: 216-378-4613  | |
Achievement Centers For Children Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4255 Northfield Rd, Highland Hills, OH 44128 Phone: 216-292-9700 Fax: 216-378-4613  |