Provider Demographics
NPI:1891536835
Name:FRIENDSHIP CIRCLE OF CLEVELAND
Entity type:Organization
Organization Name:FRIENDSHIP CIRCLE OF CLEVELAND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:YOSEF
Authorized Official - Middle Name:
Authorized Official - Last Name:PEYSIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD BCBA-D
Authorized Official - Phone:773-255-1741
Mailing Address - Street 1:27900 GATES MILLS BLVD
Mailing Address - Street 2:
Mailing Address - City:PEPPER PIKE
Mailing Address - State:OH
Mailing Address - Zip Code:44124-4734
Mailing Address - Country:US
Mailing Address - Phone:216-377-3000
Mailing Address - Fax:
Practice Address - Street 1:27900 GATES MILLS BLVD
Practice Address - Street 2:
Practice Address - City:PEPPER PIKE
Practice Address - State:OH
Practice Address - Zip Code:44124-4734
Practice Address - Country:US
Practice Address - Phone:216-377-3000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-04
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty