Fortaleza,llc

NPI #1386151645 in Elyria, Ohio

Provider Information

NPI Number: 1386151645
Entity Type: Organization
Organization Name: Fortaleza,llc
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jan 8, 2018
Last Updated: Dec 2, 2021

Practice Location

Address: 41641 N RIDGE RD
City: Elyria
State: Ohio
ZIP Code: 44035-1264
Phone: (440) 324-7406

Authorized Official

Name: ANTHONY VILLA
Title: CEO
Phone: (440) 324-7406

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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