Provider Demographics
NPI:1912195827
Name:CENTER FOR INTEGRATED THERAPIES
Entity Type:Organization
Organization Name:CENTER FOR INTEGRATED THERAPIES
Other - Org Name:CFIT
Other - Org Type:Other Name
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:D
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:216-227-8668
Mailing Address - Street 1:11002 DETROIT AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44102-2413
Mailing Address - Country:US
Mailing Address - Phone:216-227-8668
Mailing Address - Fax:216-227-9821
Practice Address - Street 1:11002 DETROIT AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44102-2413
Practice Address - Country:US
Practice Address - Phone:216-227-8668
Practice Address - Fax:216-227-9821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-05
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35 064851261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2379457Medicaid
OH9330771Medicare PIN