| The Past Project | |
|
16254 Libby Rd Maple Heights OH 44137-1222 | |
| (216) 338-7907 | |
| Not Available |
| Full Name | The Past Project |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 16254 Libby Rd, Maple Heights, Ohio |
| Authorized Official Name and Position | Mary Ellen Dale (PRESIDENT - EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2164049243 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Past Project 5303 Northfield Rd Apt 505 Bedford Hts OH 44146-1116 Ph: (216) 404-9243 | The Past Project 16254 Libby Rd Maple Heights OH 44137-1222 Ph: (216) 338-7907 |
| NPI Number | 1629520754 |
|---|---|
| Provider Enumeration Date | 10/24/2016 |
| Last Update Date | 10/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629520754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1.1302427 (Ohio) | Primary |
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