IndividualActive
Gail Boughton
NPI 1972380095 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · South Euclid, OH
Provider details
- NPI number
- 1972380095
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Practice location
4046 Harwood Rd
South Euclid, OH 44121-2737
Phone: (216) 213-2954
Approximate (ZIP-level) locationGet directions
Mailing address
4046 Harwood Rd
South Euclid, OH 44121-2737
Registry dates
- Enumerated
- 2023-09-12
- Last updated
- 2023-09-12
- Certified
- 2023-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.