Organization Name: | ACHIEVEMENT CENTERS FOR CHILDREN |
NPI Number: | 1841458791 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KELLY M BASILE (BILLING AND AR MGR) |
Mailing Address: | 4255 Northfield Rd Highland Hills |
State: | OH US |
Postal Code: | 441282811 |
Phone Number: | 2162929700 |
Fax Number: | 2163784613 |
NPI Enumeration Date: | 05/28/2008 |
NPI Last Update Date: | 01/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |