OrganizationActive
Christine Adaline Ferguson Lsw, Licdc LLC
NPI 1679298491 · Children's Substance Abuse Rehabilitation Facility · Maple Heights, OH
Provider details
- NPI number
- 1679298491
- Entity type
- Organization
- Primary specialty
- Children's Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Parent organization
- Christine Adaline Ferguson, Lsw-Licdc LLC
- Organization subpart
- Yes
- Authorized official
- Christine Ferguson, Director(216) 727-6410
Specialties & taxonomies
Residential Treatment Facilities
Practice location
16360 Broadway Ave Ste B101
Maple Heights, OH 44137-2573
Phone: (216) 510-7170
Fax: (216) 510-7213
Approximate (ZIP-level) locationGet directions
Mailing address
18320 Mapleboro Ave
Maple Heights, OH 44137-2768
Other names (DBA / former)
- Doing business as
- Key Counseling Services
Registry dates
- Enumerated
- 2022-10-04
- Last updated
- 2022-10-04
- Certified
- 2022-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.