Provider Demographics
NPI:1730847831
Name:FAMILY PROMISE OF GREATER CLEVELAND
Entity type:Organization
Organization Name:FAMILY PROMISE OF GREATER CLEVELAND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:SUSAN
Authorized Official - Last Name:SALTER
Authorized Official - Suffix:
Authorized Official - Credentials:PCC-S, LMFT
Authorized Official - Phone:216-767-4061
Mailing Address - Street 1:3470 E 152ND ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44120-4242
Mailing Address - Country:US
Mailing Address - Phone:216-767-4060
Mailing Address - Fax:
Practice Address - Street 1:3470 E 152ND ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44120-4242
Practice Address - Country:US
Practice Address - Phone:216-767-4060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-06
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251B00000XAgenciesCase Management