| Frontline Service | |
|
1744 Payne Ave Cleveland OH 44114-2910 | |
| (216) 623-6555 | |
| (216) 623-6539 |
| Full Name | Frontline Service |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1744 Payne Ave, Cleveland, Ohio |
| Authorized Official Name and Position | Steve Brincka (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2162743302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frontline Service 1744 Payne Ave Cleveland OH 44114-2910 Ph: (216) 623-6555 | Frontline Service 1744 Payne Ave Cleveland OH 44114-2910 Ph: (216) 623-6555 |
| NPI Number | 1366700775 |
|---|---|
| Provider Enumeration Date | 04/24/2012 |
| Last Update Date | 05/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366700775 | NPI | - | NPPES |
| 2847674 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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