Christine Adaline Ferguson Lsw, Licdc LLC
NPI #1679298491 in Maple Heights, Ohio
Provider Information
- NPI Number
- 1679298491
- Entity Type
- Organization
- Organization Name
- Christine Adaline Ferguson Lsw, Licdc LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CHRISTINE ADALINE FERGUSON, LSW-LICDC LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children
- Enumeration Date
- Oct 4, 2022
- Last Updated
- Oct 4, 2022
Practice Location
- Address
- 16360 BROADWAY AVE STE B101
- City
- Maple Heights
- State
- Ohio
- ZIP Code
- 44137-2573
- Phone
- (216) 510-7170
Authorized Official
- Name
- CHRISTINE A FERGUSON, LISW
- Title
- DIRECTOR
- Phone
- (216) 727-6410
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children |
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