OrganizationActive
East Side Catholic Center & Shelter
NPI 1346331501 · Substance Abuse Rehabilitation Facility · Cleveland, OH
Provider details
- NPI number
- 1346331501
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Michelle Burley-Keys, Executive Director(216) 231-5556
Specialties & taxonomies
Residential Treatment Facilities
Practice location
4500 Kennard Ct
Cleveland, OH 44104-1321
Phone: (216) 231-5556
Fax: (216) 231-3993
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 20177
Cleveland, OH 44120-0177
Other names (DBA / former)
- Other name
- Miracle Village
Registry dates
- Enumerated
- 2006-09-27
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.