Provider Demographics
NPI:1679586408
Name:EAST CLEVELAND NEIGHBORHOOD CENTER, INC.
Entity Type:Organization
Organization Name:EAST CLEVELAND NEIGHBORHOOD CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:THELMA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEPHERD
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:216-932-3626
Mailing Address - Street 1:2490 LEE BLVD
Mailing Address - Street 2:SUITE 322
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44118-1268
Mailing Address - Country:US
Mailing Address - Phone:216-932-3626
Mailing Address - Fax:216-932-3627
Practice Address - Street 1:2490 LEE BLVD
Practice Address - Street 2:SUITE 322
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44118-1268
Practice Address - Country:US
Practice Address - Phone:216-932-3626
Practice Address - Fax:216-932-3627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-14
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable