Individual provider · Type 1 NPI

Dia Laquan Blake

Community/Behavioral Health Agency · Berea, OH

NPI number 1417609090 Active

Practice location

398 W Bagley Rd
Berea, OH 44017-1369

Call (216) 340-0011 Map

Mailing address

706 E 96th St
Cleveland, OH 44108-1206

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1417609090

Dia Laquan Blake's National Provider Identifier is 1417609090, issued on Jan 25, 2022. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Berea, OH. The record was last updated on Jan 25, 2022.