Provider Demographics
NPI:1467429183
Name:BELLFLOWER CENTER FOR PREVENTION OF CHILD ABUSE
Entity Type:Organization
Organization Name:BELLFLOWER CENTER FOR PREVENTION OF CHILD ABUSE
Other - Org Name:BELLFLOWER CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:P
Authorized Official - Last Name:EYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:216-229-2420
Mailing Address - Street 1:11811 SHAKER BLVD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44120-1931
Mailing Address - Country:US
Mailing Address - Phone:216-229-2420
Mailing Address - Fax:216-229-2474
Practice Address - Street 1:11811 SHAKER BLVD
Practice Address - Street 2:SUITE 220
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44120-1931
Practice Address - Country:US
Practice Address - Phone:216-229-2420
Practice Address - Fax:216-229-2474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH10496Medicaid