Organization · Type 2 NPI
Collaboration Station
Voluntary or Charitable Agency · Cleveland, OH
NPI number
1790227155
Active
Practice location
4614 Prospect Ave Ste 325
Cleveland, OH 44103-4377
Mailing address
4614 Prospect Ave, Suite 325
Cleveland, OH 44103-4394
Other practice locations
- 3619 Walton Ave, Cleveland, OH 44113-4949 · (216) 777-2136
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Voluntary or Charitable Agency Primary | 251V00000X | 1310918 (OH) |
Voluntary or Charitable Agency: Definition to come...
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About NPI 1790227155
Collaboration Station's National Provider Identifier is 1790227155, issued on Nov 16, 2016. The primary taxonomy on file is Voluntary or Charitable Agency (251V00000X), and the practice location is in Cleveland, OH. The record was last updated on Jul 21, 2022.