| Ravenwood Mental Health Center | |
|
12557 Ravenwood Dr Chardon OH 44024-9009 | |
| (440) 285-2170 | |
| (440) 285-2207 |
| Full Name | Ravenwood Mental Health Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 12557 Ravenwood Dr, Chardon, Ohio |
| Authorized Official Name and Position | Vicki L Clark (CEO) |
| Authorized Official Contact | 4402852170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ravenwood Mental Health Center 12557 Ravenwood Dr Chardon OH 44024-9009 Ph: (440) 285-2170 | Ravenwood Mental Health Center 12557 Ravenwood Dr Chardon OH 44024-9009 Ph: (440) 285-2170 |
| NPI Number | 1912265794 |
|---|---|
| Provider Enumeration Date | 04/30/2012 |
| Last Update Date | 10/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912265794 | NPI | - | NPPES |
| 2863763 | Medicaid | OH | |
| 1053345975 | Other | OH | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Ohio) | Primary |
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