Lake County Sheriffs Office Jail Treatment Program | |
104 East Erie Street Suite 320 Painesville OH 44077-3910 | |
(440) 350-5669 | |
(440) 350-5668 |
Full Name | Lake County Sheriffs Office Jail Treatment Program |
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Speciality | Community/behavioral Health |
Location | 104 East Erie Street, Painesville, Ohio |
Authorized Official Name and Position | Lawrence Smith (PROGRAM DIRECTOR) |
Authorized Official Contact | 4403505669 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lake County Sheriffs Office Jail Treatment Program 104 East Erie Street Lake County Sheriffs Office Suite 320 Painesville OH 44077-3910 Ph: (440) 350-5669 | Lake County Sheriffs Office Jail Treatment Program 104 East Erie Street Suite 320 Painesville OH 44077-3910 Ph: (440) 350-5669 |
NPI Number | 1699863316 |
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Provider Enumeration Date | 10/10/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699863316 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 6655 (Ohio) | Primary |
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