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Dwight Phinizee II, CDCA167635
Community/Behavioral Health Agency in Cleveland, Ohio
NPI 1578031050

Dwight Phinizee II is a Community/Behavioral Health Agency based in Cleveland, OH. Dwight Phinizee II practices in Cleveland, OH and has the professional credentials of CDCA167635. The NPI Number for Dwight Phinizee II is 1578031050 and holds a License No. 167635 (Ohio).

The current practice location address for Dwight Phinizee II is 30800 Chagrin Blvd, Cleveland, OH and can be reached out via phone at 216-591-0324 and via fax at 216-591-1234.

Location: 30800 Chagrin Blvd, Cleveland, OH, 44124-5925
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578031050
Provider Name
Dwight Phinizee II
Credential
CDCA167635
Provider Entity Type
Individual
Gender
Male
Address
30800 Chagrin Blvd, Cleveland, OH, 44124-5925
Phone Number
216-591-0324
Fax Number
216-591-1234
Provider Enumeration Date
11/02/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2374229 05 OH
institution
Provider Business Practice Location Address Details
Address
30800 Chagrin Blvd
City
Cleveland
State
Ohio
Zip
44124-5925
Phone Number
216-591-0324
Fax Number
216-591-1234
person
Provider Business Mailing Address Details
Address
30800 Chagrin Blvd
City
Cleveland
State
Ohio
Zip
44124-5925
Phone Number
216-591-0324
Fax Number
216-591-1234
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
167635 (Ohio)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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