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CATHOLIC CHARITIES SERVICES CORPORATION NPI 1891741740


NPI Information

NPI: 1891741740
Provider Name: CATHOLIC CHARITIES SERVICES CORPORATION

Doing Business As: CATHOLIC CAHRITIES SERVICES OF GEAUGA COUNTIES

Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
10771 MAYFIELD RD
CHARDON, OH
ZIP 44024
Phone: (440) 285-3537
Get Directions

CATHOLIC CHARITIES SERVICES CORPORATION is an adolescent and children mental health clinic center in Chardon, OH. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. CATHOLIC CHARITIES SERVICES CORPORATION NPI is 1891741740. The provider is registered as an organization entity type.
The provider Is Doing Business As Catholic Cahrities Services Of Geauga Counties.

The provider's business location address is:

10771 MAYFIELD RD
CHARDON, OH
ZIP 44024-323
Phone: (440) 285-3537
Fax: (440) 285-4909

The provider's authorized official is Tom Woll .
The authorized official title is Executive Director and has the following contact phone number (440) 843-5501.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0855XClinic/CenterAdolescent and Children Mental HealthYes
2261QM0850XClinic/CenterAdult Mental HealthX
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
106854OTHEROHIOOTHER SOURCE
2MC-19-04MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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