| Ccc Of Geauga And Lake Counties | |
|
8 N State St Suite 455 Painesville OH 44077-3955 | |
| (440) 946-7264 | |
| Not Available |
| Full Name | Ccc Of Geauga And Lake Counties |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8 N State St, Painesville, Ohio |
| Authorized Official Name and Position | Patrick Gareau (PRESIDENTI AND CEO CCHHS) |
| Authorized Official Contact | 2163342901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ccc Of Geauga And Lake Counties 7911 Detroit Ave Cleveland OH 44102-2815 Ph: (216) 334-2901 | Ccc Of Geauga And Lake Counties 8 N State St Suite 455 Painesville OH 44077-3955 Ph: (440) 946-7264 |
| NPI Number | 1538404389 |
|---|---|
| Provider Enumeration Date | 12/05/2012 |
| Last Update Date | 12/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538404389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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