36D2111058 CLIA NUMBER - OHIOGUIDESTONE

Laboratory Demographics

CLIA Number: 36D2111058

Facility Name: OHIOGUIDESTONE

Facility Address:
202 BAGLEY ROAD
BEREA, OH
ZIP 44017
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Facility Phone Number: 440 234-2006

Facility Type: Other - BEH HEALTH AGENCY MH

Certificate Type: Waiver

NPI Number: 1295096758

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	36D2111058
LAB Type	Other - BEH HEALTH AGENCY MH
Facility Name	OHIOGUIDESTONE
Street	202 BAGLEY ROAD
City	BEREA
State	OH
ZIP	44017
Phone	440 234-2006
CertificateType	4
CertificateEffectiveDate	3/30/2024
CertificateExpirationDate	3/29/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024