| New Visions Unlimited, Inc. | |
|
4002 Warrensville Center Rd Warrensville Heights OH 44122-6771 | |
| (216) 561-8300 | |
| Not Available |
| Full Name | New Visions Unlimited, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 4002 Warrensville Center Rd, Warrensville Heights, Ohio |
| Authorized Official Name and Position | Kathy Krejcier (PRESIDENT) |
| Authorized Official Contact | 2163789560 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Visions Unlimited, Inc. 4002 Warrensville Center Rd Warrensville Heights OH 44122-6771 Ph: (216) 561-8300 | New Visions Unlimited, Inc. 4002 Warrensville Center Rd Warrensville Heights OH 44122-6771 Ph: (216) 561-8300 |
| NPI Number | 1255420584 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 04/28/2017 |
| Medicare PECOS PAC ID | 0244518967 |
|---|---|
| Medicare Enrollment ID | O20161101001549 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255420584 | NPI | - | NPPES |
| 0065652 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | 11000 (Ohio) | Primary |
| Provider Name | Joyce Decluett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780748376 PECOS PAC ID: 6800978461 Enrollment ID: I20080205000146 |
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