| Ashley Grinonneau-denton, Llc | |
|
2460 Fairmount Blvd Suite 320 Cleveland OH 44106-3171 | |
| (216) 916-2035 | |
| (216) 231-7235 |
| Full Name | Ashley Grinonneau-denton, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2460 Fairmount Blvd, Cleveland, Ohio |
| Authorized Official Name and Position | Ashley N Grinonneau (OWNER) |
| Authorized Official Contact | 4194104476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Grinonneau-denton, Llc 2460 Fairmount Blvd Suite 320 Cleveland OH 44106-3171 Ph: (216) 916-2035 | Ashley Grinonneau-denton, Llc 2460 Fairmount Blvd Suite 320 Cleveland OH 44106-3171 Ph: (216) 916-2035 |
| NPI Number | 1548642259 |
|---|---|
| Provider Enumeration Date | 06/18/2015 |
| Last Update Date | 06/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548642259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | E.0700483-SUPV (Ohio) | Primary |
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