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25 Main St Ste 200 Westlake OH 44145-6975 | |
| (440) 588-8070 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 25 Main St Ste 200, Westlake, Ohio |
| Authorized Official Name and Position | Bridget Rubel (OWNER) |
| Authorized Official Contact | 4407732788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
372 Chapel Cir Berea OH 44017-2343 Ph: (440) 588-8070 | 25 Main St Ste 200 Westlake OH 44145-6975 Ph: (440) 588-8070 |
| NPI Number | 1275210023 |
|---|---|
| Provider Enumeration Date | 07/03/2023 |
| Last Update Date | 02/14/2024 |
| Certification Date | 02/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275210023 | NPI | - | NPPES |
| 0024720 | Medicaid | OH | |
| 0345379 | Medicaid | OH | |
| 0372227 | Medicaid | OH |
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