Renounce Denounce Gang Intervention Program

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RENOUNCE DENOUNCE GANG INTERVENTION PROGRAM

Practice address

26155 Euclid Ave Rear
Euclid, OH 44132-3301

Phone

(440) 723-8190

NPI assigned

Jan 9, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Angela Douglas

Title

Chief Operating Officer

Phone

(440) 723-8190

Specialties & licenses 1

Addresses

Other names 1

• Renounce Denounce Gang Intervention Program Former legal business name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1285444570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26155 EUCLID AVE REAR",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441323301",
            "telephone_number": "440-723-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26155 EUCLID AVE REAR",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441323301",
            "telephone_number": "440-723-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENOUNCE DENOUNCE GANG INTERVENTION PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "440-723-8190"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renounce Denounce Gang Intervention Program",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Community/Behavioral Health Agency in Euclid, OH
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.