Pipeline To God Communications, Inc. | |
23611 Chagrin Blvd Ste 120 Beachwood OH 44122-5540 | |
(216) 360-9343 | |
(216) 360-9345 |
Full Name | Pipeline To God Communications, Inc. |
---|---|
Speciality | Community/behavioral Health |
Location | 23611 Chagrin Blvd Ste 120, Beachwood, Ohio |
Authorized Official Name and Position | Iris Lynn Bailey (PRESIDENT/CEO) |
Authorized Official Contact | 2163609343 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pipeline To God Communications, Inc. 23611 Chagrin Blvd Ste 120 Beachwood OH 44122-5540 Ph: (216) 360-9343 | Pipeline To God Communications, Inc. 23611 Chagrin Blvd Ste 120 Beachwood OH 44122-5540 Ph: (216) 360-9343 |
NPI Number | 1770811556 |
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Provider Enumeration Date | 12/06/2009 |
Last Update Date | 01/14/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770811556 | NPI | - | NPPES |
0055659 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 01-7543 (Ohio) | Primary |
251V00000X | Voluntary Or Charitable | 1436740 (Ohio) | Secondary |
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