Ravenwood Mental Health Center | |
12557 Ravenwood Dr Chardon OH 44024 | |
(440) 285-3568 | |
(440) 285-4552 |
Full Name | Ravenwood Mental Health Center |
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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 |
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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 |
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Provider Enumeration Date | 07/10/2006 |
Last Update Date | 03/21/2014 |
Medicare PECOS PAC ID | 6901813922 |
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Medicare Enrollment ID | O20240603002496 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053345975 | NPI | - | NPPES |
0576916 | Medicaid | OH |
Provider Name | Joel Steinberg |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1356566848 PECOS PAC ID: 5496009920 Enrollment ID: I20240624004960 |
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