OrganizationActive
Collaboration Station
NPI 1790227155 · Voluntary or Charitable Agency · Cleveland, OH
Provider details
- NPI number
- 1790227155
- Entity type
- Organization
- Primary specialty
- Voluntary or Charitable AgencyAgencies
- Organization subpart
- No
- Authorized official
- Cheryl Smith, Executive Director(216) 777-2136
- License
- 1310918 (OH)
Specialties & taxonomies
Agencies
Practice location
4614 Prospect Ave Ste 325
Cleveland, OH 44103-4377
Phone: (216) 777-2136
Approximate (ZIP-level) locationGet directions
Mailing address
4614 Prospect Ave
Cleveland, OH 44103-4394
Additional practice locations (1)
- 3619 Walton AveCleveland, OH 44113-4949Phone: (216) 777-2136Fax: (888) 380-3849
Registry dates
- Enumerated
- 2016-11-16
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.