| Greenleaf Family Center | |
|
580 Grant St Akron OH 44311-9910 | |
| (330) 376-9494 | |
| (330) 376-4525 |
| Full Name | Greenleaf Family Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 580 Grant St, Akron, Ohio |
| Authorized Official Name and Position | Dawn Glenny (PRESIDENT/CEO) |
| Authorized Official Contact | 3303769494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenleaf Family Center 580 Grant St Akron OH 44311-9910 Ph: (330) 376-9494 | Greenleaf Family Center 580 Grant St Akron OH 44311-9910 Ph: (330) 376-9494 |
| NPI Number | 1255738456 |
|---|---|
| Provider Enumeration Date | 12/03/2014 |
| Last Update Date | 12/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255738456 | NPI | - | NPPES |
| 2098386 | Medicaid | OH | |
| H302900 | Other | OH | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 01-0198 (Ohio) | Secondary |
| 251S00000X | Community/behavioral Health | 13654 (Ohio) | Primary |
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