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Christine Adaline Ferguson Lsw, Licdc Llc
Children's Substance Abuse Rehabilitation Facility in Maple Heights, Ohio
NPI 1679298491

Christine Adaline Ferguson Lsw, Licdc Llc is a Children's Substance Abuse Rehabilitation Facility based in Maple Heights, OH and is specialized in Substance Abuse Treatment, Children. Christine Adaline Ferguson Lsw, Licdc Llc practices in Maple Heights, OH. The NPI Number for Christine Adaline Ferguson Lsw, Licdc Llc is 1679298491 and holds a License No. (Ohio).

The current practice location address for Christine Adaline Ferguson Lsw, Licdc Llc is 16360 Broadway Ave Ste B101, Maple Heights, OH and can be reached out via phone at 216-510-7170 and via fax at 216-510-7213.

Location: 16360 Broadway Ave Ste B101, Maple Heights, OH, 44137-2768
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679298491
Provider Name
Christine Adaline Ferguson Lsw, Licdc Llc
Credential
Provider Entity Type
Organization
Address
16360 Broadway Ave Ste B101, Maple Heights, OH, 44137-2768
Phone Number
216-510-7170
Fax Number
216-510-7213
Provider Enumeration Date
10/04/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
16360 Broadway Ave Ste B101
City
Maple Heights
State
Ohio
Zip
44137-2573
Phone Number
216-510-7170
Fax Number
216-510-7213
person
Provider Business Mailing Address Details
Address
16360 Broadway Ave Ste B101
City
Maple Heights
State
Ohio
Zip
44137-2573
Phone Number
216-510-7170
Fax Number
216-510-7213
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
3245S0500X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
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