Crossroads Lake County Adolescent Counseling

NPI 1154680627 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1154680627
Enumeration Date 05/03/2012
Last Updated 05/03/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name MICHAEL MICHAEL
Position CEO
Phone (440) 255-1700
Fax (440) 205-2417
Practice Location
8445 MUNSON ROAD
MENTOR OH, 44060, US
Phone (440) 255-1700
Fax (440) 205-2417
Business Location
8445 MUNSON ROAD
MENTOR OH, 44060, US
Phone (440) 255-1700
Fax (440) 205-2417
Toxanomy
Taxonomy Code 251S00000X
License State
License Number
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According to our database, Crossroads Lake County Adolescent Counseling NPI is 1154680627, taxonomy code is 251S00000X Crossroads Lake County Adolescent Counseling physically located at 8445 Munson Road, Mentor OH, 44060. NPI Number 1033115704 has the healthcare provider type.

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1154680627 NPI number is provided on an as is basis without warranty of any kind. 1154680627 is maintained by the National Plan & Provider Enumeration System. The contents of Crossroads Lake County Adolescent Counseling are for informational purposes only.