| Organization Name: | STEAM ACADEMY OF WARRENSVILLE HEIGHTS |
| NPI Number: | 1083004642 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GARY LANE (HEAD OF SCHOOL/PRINCIPAL) |
| Mailing Address: | 4700 Richmond Rd Suite 3000 Warrensville Heights |
| State: | OH US |
| Postal Code: | 441285984 |
| Phone Number: | 2165952866 |
| Fax Number: | |
| NPI Enumeration Date: | 02/03/2015 |
| NPI Last Update Date: | 02/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |