Beacon Health
Clinic/Center, Mental Health (Including Community Mental Health Center) in Mentor, OH. Organization (NPI-2).
NPI number1306803788
StatusActive
Last updated in NPPESOct 30, 2014
Details
- NPI
- 1306803788
- Entity type
- Organization (NPI-2)
- Legal business name
- Beacon Health
- Organization subpart
- No
- Enumeration date
- Apr 28, 2006
- Last updated
- Oct 30, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
9220 Mentor AvenueMentor, OH 44060-6412
Phone 440-354-9924 · Fax 440-205-1009
Mailing address
9220 Mentor AvenueMentor, OH 44060-6412
Phone 440-354-9924 · Fax 440-205-1009
Authorized official
W Spencer Kline
Ceo
4403549924
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