Provider Demographics
NPI:1750346334
Name:AIDS TASKFORCE OF GREATER CLEVELAND, INC.
Entity type:Organization
Organization Name:AIDS TASKFORCE OF GREATER CLEVELAND, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EARL
Authorized Official - Middle Name:
Authorized Official - Last Name:PIKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-621-0766
Mailing Address - Street 1:3210 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44115-2510
Mailing Address - Country:US
Mailing Address - Phone:216-621-0766
Mailing Address - Fax:216-622-7788
Practice Address - Street 1:3210 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44115-2510
Practice Address - Country:US
Practice Address - Phone:216-621-0766
Practice Address - Fax:216-622-7788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management