Organization · Type 2 NPI
Life Change Institute
Substance Abuse Rehabilitation Facility · Euclid, OH
NPI number
1619100047
Active
Practice location
1510 E 221st St
Euclid, OH 44117-1509
Mailing address
PO Box 604002
Cleveland, OH 44104-0002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Other substance abuse rehabilitation facility providers in Euclid
About NPI 1619100047
Life Change Institute's National Provider Identifier is 1619100047, issued on Sep 2, 2009. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Euclid, OH. The record was last updated on Sep 2, 2009.