Tanya Hairston
NPI #1356087449 in East Cleveland, Ohio
Provider Information
- NPI Number
- 1356087449
- Entity Type
- Individual
- Name
- Tanya Hairston
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- May 11, 2022
- Last Updated
- May 11, 2022
Practice Location
- Address
- 13417 4TH AVE
- City
- East Cleveland
- State
- Ohio
- ZIP Code
- 44112-3113
- Phone
- (440) 210-7833
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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