CHRISTINE ADALINE FERGUSON LSW, LICDC LLC is a substance abuse treatment and children substance abuse rehabilitation facility in Maple Heights, OH. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. CHRISTINE ADALINE FERGUSON LSW, LICDC LLC NPI is 1679298491. The provider is registered as an organization entity type.
The provider's business location address is:
16360 BROADWAY AVE STE B101
MAPLE HEIGHTS, OH
ZIP 44137-573
Phone: (216) 510-7170
Fax: (216) 510-7213
The provider's authorized official is Christine A Ferguson .
The authorized official title is Director and has the following contact phone number (216) 727-6410.
The enumeration date for this NPI number is 10/4/2022 and was last updated on 10/4/2022.