Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES A CRADDOCK III
Active Sole ProprietorCHARLES A CRADDOCK III is a Behavioral Health, Residential healthcare provider located in GARFIELD HEIGHTS, Ohio. NPI 1962218586 is currently active in the NPPES registry. Verify at CMS.
Behavioral Health, Residential · GARFIELD HEIGHTS, OH
Registration Details
- NPI Number
- 1962218586
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 9, 2024 (1.7167796916734 yrs)
- Last Updated
- Dec 9, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
5135 E 112TH STGARFIELD HEIGHTS, OH, 441252729Browse OH providers · Browse ZIP 44125
- Phone
- 2162784717
- 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.