| Ravenwood Mental Health Center | |
|
12557 Ravenwood Dr Chardon OH 44024 | |
| (440) 285-3568 | |
| (440) 285-4552 |
| Full Name | Ravenwood Mental Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 12557 Ravenwood Dr, Chardon, Ohio |
| Authorized Official Name and Position | Vicki Clark (CEO) |
| Authorized Official Contact | 4402852170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ravenwood Mental Health Center 12557 Ravenwood Drive Chardon OH 44024 Ph: (440) 285-2170 | Ravenwood Mental Health Center 12557 Ravenwood Dr Chardon OH 44024 Ph: (440) 285-3568 |
| NPI Number | 1053345975 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 03/21/2014 |
| Medicare PECOS PAC ID | 6901813922 |
|---|---|
| Medicare Enrollment ID | O20240603002496 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053345975 | NPI | - | NPPES |
| 0576916 | Medicaid | OH |
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