Lake County Sheriffs Office Jail Treatment Program
Community/Behavioral Health in Painesville, OH. Organization (NPI-2).
NPI number1699863316
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1699863316
- Entity type
- Organization (NPI-2)
- Legal business name
- Lake County Sheriffs Office Jail Treatment Program
- Organization subpart
- No
- Enumeration date
- Oct 10, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 6655 | OH | Yes |
Practice location
104 East Erie StreetSuite 320
Painesville, OH 44077-3910
Phone 440-350-5669 · Fax 440-350-5668
Mailing address
104 East Erie StreetLake County Sheriffs Office Suite 320
Painesville, OH 44077-3910
Phone 440-350-5669 · Fax 440-350-5668
Authorized official
Lawrence Smith
Program Director
4403505669
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