Your Recovery Counseling | |
23811 Chagrin Blvd Ste 105 Beachwood OH 44122-5525 | |
(216) 483-1001 | |
Not Available |
Full Name | Your Recovery Counseling |
---|---|
Speciality | Community/behavioral Health |
Location | 23811 Chagrin Blvd Ste 105, Beachwood, Ohio |
Authorized Official Name and Position | Sadigoh Galloway (CEO) |
Authorized Official Contact | 2164831001 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Your Recovery Counseling 23811 Chagrin Blvd Ste 105 Beachwood OH 44122-5525 Ph: (216) 483-1001 | Your Recovery Counseling 23811 Chagrin Blvd Ste 105 Beachwood OH 44122-5525 Ph: (216) 483-1001 |
NPI Number | 1740936509 |
---|---|
Provider Enumeration Date | 03/01/2022 |
Last Update Date | 01/05/2024 |
Certification Date | 01/05/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740936509 | NPI | - | NPPES |
0262397 | Medicaid | OH | |
1649654260 | Medicaid | OH | |
0477109 | Medicaid | OH | |
0480736 | Medicaid | OH | |
1841930971 | Other | OH | NPI |
1740936509 | Other | OH | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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