Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DWAYNE JOHNSON
Active Sole ProprietorDWAYNE JOHNSON is a Behavioral Health, Residential healthcare provider located in EAST CLEVELAND, Ohio. NPI 1225872542 is currently active in the NPPES registry. Verify at CMS.
Behavioral Health, Residential · EAST CLEVELAND, OH
Registration Details
- NPI Number
- 1225872542
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 21, 2024 (2.1936535018191 yrs)
- Last Updated
- Aug 20, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
14001 SCIOTO AVEEAST CLEVELAND, OH, 441123738Browse OH providers · Browse ZIP 44112
- Phone
- 2164214427
- Primary Specialty
-
Behavioral Health, Residential
251C00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.