OWEN RUSSELL TAYLOR

CLEVELAND, OH
NPI1487182606
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  923209)
Enumeration Date2017-06-01
Last Update Date2017-06-01
Business Address
Mr. OWEN RUSSELL TAYLOR
3030 EUCLID AVE STE 312
CLEVELAND, OH 44115-2518
Phone number: 216-391-0977
Mailing Address
Mr. OWEN RUSSELL TAYLOR
PO BOX 10844
CLEVELAND, OH 44110-0844
Phone number: 216-391-0977