| Northeast Ohio Behavioral Health | |
|
4347 Portage St Nw Suite 103 North Canton OH 44720-7371 | |
| (330) 494-5155 | |
| (330) 494-6868 |
| Full Name | Northeast Ohio Behavioral Health |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4347 Portage St Nw, North Canton, Ohio |
| Authorized Official Name and Position | Robin R. Tener (DIRECTOR) |
| Authorized Official Contact | 3309457100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Ohio Behavioral Health 2795 Front St Suite A Cuyahoga Falls OH 44221-1900 Ph: (330) 945-7100 | Northeast Ohio Behavioral Health 4347 Portage St Nw Suite 103 North Canton OH 44720-7371 Ph: (330) 494-5155 |
| NPI Number | 1679699573 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679699573 | NPI | - | NPPES |
| 10034 | Medicaid | OH | |
| 10024 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0483 (Ohio) | Primary |
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