| Bellefaire Jewish Children's Bureau | |
|
807 E Washington St Ste 150 Medina OH 44256-3339 | |
| (330) 241-4444 | |
| (330) 721-0013 |
| Full Name | Bellefaire Jewish Children's Bureau |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 807 E Washington St Ste 150, Medina, Ohio |
| Authorized Official Name and Position | Leigh Johnson (GENERAL COUNSEL) |
| Authorized Official Contact | 2163208222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bellefaire Jewish Children's Bureau 22001 Fairmount Blvd Shaker Heights OH 44118-4819 Ph: (216) 320-8222 | Bellefaire Jewish Children's Bureau 807 E Washington St Ste 150 Medina OH 44256-3339 Ph: (330) 241-4444 |
| NPI Number | 1205337565 |
|---|---|
| Provider Enumeration Date | 02/22/2018 |
| Last Update Date | 02/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205337565 | NPI | - | NPPES |
| 2864226 | Medicaid | OH | |
| 2847183 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 01-0009 (Ohio) | Primary |
| 251S00000X | Community/behavioral Health | 2447 (Ohio) | Secondary |
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