| Noah | |
|
8536 Crow Dr Ste 30 Macedonia OH 44056-1900 | |
| (330) 467-0085 | |
| (330) 467-0094 |
| Full Name | Noah |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 8536 Crow Dr Ste 30, Macedonia, Ohio |
| Authorized Official Name and Position | Darryl Mason (EXECUTIVE DIRECTER) |
| Authorized Official Contact | 3304670085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Noah 8536 Crow Dr Ste 30 Macedonia OH 44056-1900 Ph: (330) 467-0085 | Noah 8536 Crow Dr Ste 30 Macedonia OH 44056-1900 Ph: (330) 467-0085 |
| NPI Number | 1427316819 |
|---|---|
| Provider Enumeration Date | 04/24/2012 |
| Last Update Date | 04/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427316819 | NPI | - | NPPES |
| 3115444 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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