JORDAN COMMUNITY RESIDENTIAL is an addiction (substance use disorder) psychologist in Willoughby, OH. The provider is a psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. JORDAN COMMUNITY RESIDENTIAL NPI is 1164068524. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
30841 EUCLID AVE STE 103
WILLOUGHBY, OH
ZIP 44094-100
Phone: (216) 441-2496
Fax: (216) 634-9611
The provider's authorized official is Tenisha Gant .
The authorized official title is Chief Executive Officer and has the following contact phone number (216) 441-2496.
The enumeration date for this NPI number is 11/20/2019 and was last updated on 4/26/2024.