CHRISTIAN OMAR MEDINA

CLEVELAND, OH
NPI1053078881
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  178991)
Enumeration Date2021-11-29
Last Update Date2021-11-29
Business Address
CHRISTIAN OMAR MEDINA CDCA PRE
2202 PRAME AVE
CLEVELAND, OH 44109-1626
Phone number: 216-459-1222
Mailing Address
CHRISTIAN OMAR MEDINA CDCA PRE
3305 W 25TH ST
CLEVELAND, OH 44109-1613
Phone number: 216-459-1222