| Renounce Denounce Gang Intervention Program | |
|
26155 Euclid Ave Rear Euclid OH 44132-3301 | |
| (440) 723-8190 | |
| Not Available |
| Full Name | Renounce Denounce Gang Intervention Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 26155 Euclid Ave Rear, Euclid, Ohio |
| Authorized Official Name and Position | Angela Douglas (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 4407238190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renounce Denounce Gang Intervention Program 26155 Euclid Ave Rear Euclid OH 44132-3301 Ph: (440) 723-8190 | Renounce Denounce Gang Intervention Program 26155 Euclid Ave Rear Euclid OH 44132-3301 Ph: (440) 723-8190 |
| NPI Number | 1285444570 |
|---|---|
| Provider Enumeration Date | 01/09/2025 |
| Last Update Date | 01/09/2025 |
| Certification Date | 01/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285444570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
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