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8210 Macedonia Commons Suite 3b Pmb 1096 Macedonia OH 44056-2264 | |
| (877) 779-2873 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8210 Macedonia Commons, Macedonia, Ohio |
| Authorized Official Name and Position | Lauren Beverlee Kusi (CEO) |
| Authorized Official Contact | 8777792873 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8210 Macedonia Commons Suite 3b Pmb 1096 Macedonia OH 44056-2264 Ph: (877) 779-2873 | 8210 Macedonia Commons Suite 3b Pmb 1096 Macedonia OH 44056-2264 Ph: (877) 779-2873 |
| NPI Number | 1710793468 |
|---|---|
| Provider Enumeration Date | 12/07/2024 |
| Last Update Date | 01/02/2025 |
| Certification Date | 01/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710793468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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