# BELLEFAIRE JCB

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265983076
- **Authorized official:** ELLEN ROSENBLATT (MEDICAL DIRECTOR)
- **Authorized official phone:** (216) 320-8206

## Contact information

- **Practice address:** 22001 FAIRMOUNT BLVD, SHAKER HTS,., OH 44118-8919
- **Practice address phone:** (216) 921-8000
- **Mailing address:** 22001 FAIRMOUNT BLVD, SHAKER HTS.,, OH 44118-4819
- **Mailing address phone:** (216) 921-8000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | RN289240 | OH | Yes |

## Other

- **Enumeration date:** 10/17/2016
- **Last updated:** 10/17/2016