Provider Demographics
NPI:1841181583
Name:T.R.E.I.N. ACADEMY & BVOU BEHAVIORAL HEALTH MULTI-RESOURCE CENTER
Entity type:Organization
Organization Name:T.R.E.I.N. ACADEMY & BVOU BEHAVIORAL HEALTH MULTI-RESOURCE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:D
Authorized Official - Last Name:MCKISSACK
Authorized Official - Suffix:
Authorized Official - Credentials:CHR, MPA, MSED
Authorized Official - Phone:216-704-5495
Mailing Address - Street 1:PO BOX 35151
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44135-0151
Mailing Address - Country:US
Mailing Address - Phone:216-704-5495
Mailing Address - Fax:
Practice Address - Street 1:3582 W 130TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44111-3407
Practice Address - Country:US
Practice Address - Phone:216-704-5495
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health