| Signature Health, Inc | |
|
38882 Mentor Ave Willoughby OH 44094-7875 | |
| (440) 953-9999 | |
| (440) 918-3839 |
| Full Name | Signature Health, Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 38882 Mentor Ave, Willoughby, Ohio |
| Authorized Official Name and Position | Jonathan A Lee (PRESIDENT & CEO) |
| Authorized Official Contact | 4409539999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Signature Health, Inc 38882 Mentor Ave Willoughby OH 44094-7875 Ph: (440) 953-9999 | Signature Health, Inc 38882 Mentor Ave Willoughby OH 44094-7875 Ph: (440) 953-9999 |
| NPI Number | 1174884787 |
|---|---|
| Provider Enumeration Date | 05/31/2012 |
| Last Update Date | 05/31/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174884787 | NPI | - | NPPES |
| 2911639 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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