Individual provider · Type 1 NPI
Lovel Henderson JR, JR.
Substance Use Disorder Rehabilitation Clinic/Center · Cleveland, OH
NPI number
1700357829
Active
Practice location
6600 Lexington Ave
Cleveland, OH 44103
Mailing address
1769 East 63rd Street
Cleveland, OH 44103
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
Other substance use disorder rehabilitation clinic/center providers in Cleveland
About NPI 1700357829
Lovel Henderson JR, JR.'s National Provider Identifier is 1700357829, issued on Dec 16, 2018. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Cleveland, OH. The record was last updated on Dec 16, 2018.