Provider Demographics
NPI:1861188195
Name:SPANISH AMERICAN COMMITTEE FOR A BETTER COMMUNITY
Entity type:Organization
Organization Name:SPANISH AMERICAN COMMITTEE FOR A BETTER COMMUNITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:RAMONITA
Authorized Official - Middle Name:
Authorized Official - Last Name:VARGAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-961-2100
Mailing Address - Street 1:4407 LORAIN AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44113-3779
Mailing Address - Country:US
Mailing Address - Phone:216-961-2100
Mailing Address - Fax:
Practice Address - Street 1:4407 LORAIN AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44113-3779
Practice Address - Country:US
Practice Address - Phone:216-961-2100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-11
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health