Provider Demographics
NPI:1396433884
Name:THE ATTAWAY COMPANY
Entity type:Organization
Organization Name:THE ATTAWAY COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:CHRIS
Authorized Official - Last Name:ATTAWAY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:440-264-3584
Mailing Address - Street 1:PO BOX 43183
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44143-0183
Mailing Address - Country:US
Mailing Address - Phone:440-264-3584
Mailing Address - Fax:
Practice Address - Street 1:3785 E 142ND ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44128-1006
Practice Address - Country:US
Practice Address - Phone:440-264-3584
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health