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602 South St Suite D-1 Chardon OH 44024-1499 | |
| (440) 843-5615 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 602 South St, Chardon, Ohio |
| Authorized Official Name and Position | Patrick Gareau (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2163342901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
602 South St Suite D-1 Chardon OH 44024-1499 Ph: (440) 843-5615 | 602 South St Suite D-1 Chardon OH 44024-1499 Ph: (440) 843-5615 |
| NPI Number | 1306104690 |
|---|---|
| Provider Enumeration Date | 04/25/2012 |
| Last Update Date | 05/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306104690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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