| Cc Of Lorain County | |
|
628 Poplar St Elyria OH 44035-4065 | |
| (440) 366-1106 | |
| (440) 336-5645 |
| Full Name | Cc Of Lorain County |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 628 Poplar St, Elyria, 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 |
|---|---|
| Cc Of Lorain County 628 Poplar St Elyria OH 44035-4065 Ph: (440) 366-1106 | Cc Of Lorain County 628 Poplar St Elyria OH 44035-4065 Ph: (440) 366-1106 |
| NPI Number | 1336329697 |
|---|---|
| Provider Enumeration Date | 11/05/2007 |
| Last Update Date | 01/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336329697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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