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Fortaleza,llc
Substance Use Disorder Rehabilitation Clinic/Center in Elyria, Ohio
NPI 1386151645

Fortaleza,llc is a Substance Use Disorder Rehabilitation Clinic/Center based in Elyria, OH and is specialized in Rehabilitation, Substance Use Disorder. Fortaleza,llc practices in Elyria, OH. The NPI Number for Fortaleza,llc is 1386151645 and holds a License No. (Ohio).

The current practice location address for Fortaleza,llc is 41641 N Ridge Rd, Elyria, OH and can be reached out via phone at 440-324-7406.

Location: 41641 N Ridge Rd, Elyria, OH, 44035-1264
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386151645
Provider Name
Fortaleza,llc
Credential
Provider Entity Type
Organization
Address
41641 N Ridge Rd, Elyria, OH, 44035-1264
Phone Number
440-324-7406
Fax Number
Provider Enumeration Date
01/08/2018
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0123307 05 OH
0284736 05 OH
institution
Provider Business Practice Location Address Details
Address
41641 N Ridge Rd
City
Elyria
State
Ohio
Zip
44035-1264
Phone Number
440-324-7406
Fax Number
person
Provider Business Mailing Address Details
Address
41641 N Ridge Rd
City
Elyria
State
Ohio
Zip
44035-1264
Phone Number
440-324-7406
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
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