LOVEL HENDERSON JR

CLEVELAND, OH
NPI1700357829
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder
Enumeration Date2018-12-16
Last Update Date2018-12-16
Business Address
LOVEL HENDERSON JR Jr.
6600 LEXINGTON AVE
CLEVELAND, OH 44103
Phone number: 216-355-8331
Mailing Address
LOVEL HENDERSON JR Jr.
1769 EAST 63RD STREET
CLEVELAND, OH 44103
Phone number: 216-355-8331
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