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A Space For Healing

Community/Behavioral Health in Mentor, OH. Organization (NPI-2).

NPI number1669013934
StatusActive
Last updated in NPPESSep 23, 2024

Details

NPI
1669013934
Entity type
Organization (NPI-2)
Legal business name
A Space For Healing
Organization subpart
No
Enumeration date
Oct 8, 2019
Certification date
Sep 23, 2024
Last updated
Sep 23, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

8500 Station St Ste 300j
Mentor, OH 44060-4963

Phone 440-721-8979

Mailing address

8500 Station Street
Ste 300j
Mentor, OH 44060-5756

Phone 407-218-9794

Authorized official

Christine Anne Vavro
Trauma Therapist
4404134637

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