Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | TIMOTHY GORHAM · Timothy D Gorham II | [sources] | |||
Birth date | [sources] | ||||
Nationality | not available | [sources] | |||
Country | United States of America | [sources] | |||
Description | Provider ID: 0282960 | [sources] | |||
First name | Timothy | [sources] | |||
Last name | GORHAM · Gorham II | [sources] | |||
Middle name | D | [sources] | |||
NPI | 1922505700 | [sources] | |||
Sector | 96 - Behavioral Health Para-Professional | [sources] | |||
Position | MENTAL/BEHAVIORAL HE (EMPLOYEE - PRIVATE S) | [sources] | |||
Address | 12956 CEDAR ROAD, CLEVELAND, OH 44118 | [sources] | |||
Last change | Last processed | First seen |
Medical providers excluded or suspended from Ohio's Medicaid program.
United States of America · ODM
People and companies excluded from Federally funded health care programs
United States of America · OIG
us-medoh-cf428822d58523d66d0d0eafa39e26efff8d770b
· us-fed-excl-timothy-gorham-44118-cleveland
· us-medoh-a6b81b28b1735677739d7bf4ac4c35eeee5b5acb
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United States of America | Ohio Department of Medicaid | - | - |