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B. Riley Sober House
Peer Specialist in Cleveland, Ohio
NPI 1417625666

B. Riley Sober House is a Peer Specialist based in Cleveland, OH. B. Riley Sober House practices in Cleveland, OH. The NPI Number for B. Riley Sober House is 1417625666 and holds a License No. (Ohio).

The current practice location address for B. Riley Sober House is 2121 W 117Th St, Cleveland, OH and can be reached out via phone at 216-417-4831.

Location: 2121 W 117Th St, Cleveland, OH, 44111-1642
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417625666
Provider Name
B. Riley Sober House
Credential
Provider Entity Type
Organization
Address
2121 W 117Th St, Cleveland, OH, 44111-1642
Phone Number
216-417-4831
Fax Number
Provider Enumeration Date
09/02/2021
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0454981 05 OH
institution
Provider Business Practice Location Address Details
Address
2121 W 117Th St
City
Cleveland
State
Ohio
Zip
44111-1642
Phone Number
216-417-4831
Fax Number
person
Provider Business Mailing Address Details
Address
2121 W 117Th St
City
Cleveland
State
Ohio
Zip
44111-1642
Phone Number
216-417-4831
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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