Crossroads Health
Pharmacy, Community/Retail Pharmacy in Mentor, OH. Organization (NPI-2).
NPI number1437733169
StatusActive
Last updated in NPPESJul 22, 2021
Details
- NPI
- 1437733169
- Entity type
- Organization (NPI-2)
- Legal business name
- Crossroads Health
- Organization subpart
- No
- Enumeration date
- May 10, 2021
- Certification date
- Jul 22, 2021
- Last updated
- Jul 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
Other names
- Crossroads Lake County Adolescent Counseling Services (Former Legal Business Name)
Practice location
9220 Mentor Ave Ste AMentor, OH 44060-6412
Phone 440-255-1700
Mailing address
8445 Munson RdMentor, OH 44060-2410
Phone 440-255-1700
Authorized official
Alice Iden
Coo
4402551700
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