Bellefaire Jcb
Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children in Elyria, OH. Organization (NPI-2).
NPI number1376802249
StatusActive
Last updated in NPPESMay 17, 2012
Details
- NPI
- 1376802249
- Entity type
- Organization (NPI-2)
- Legal business name
- Bellefaire Jcb
- Organization subpart
- Yes
- Enumeration date
- May 11, 2012
- Last updated
- May 17, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3245S0500X | Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | 0009 | OH | Yes |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | 0009 | OH | |
| 324500000X | Substance Abuse Rehabilitation Facility | 0009 | OH |
Practice location
347 Midway BlvdElyria, OH 44035-9006
Phone 440-324-5701 · Fax 440-324-9978
Mailing address
347 Midway BlvdElyria, OH 44035-9006
Phone 440-324-5701 · Fax 440-324-9978
Authorized official
Thomas J Browne
Cfo
2163208221
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