# BELLEFAIRE JCB

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WINGSPAN CARE GROUP
- **Other names:** Monarch Psychiatric Residential Treatment Facility
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1497151104
- **Legal business name:** WINGSPAN CARE GROUP
- **Authorized official:** MRS. LEIGH HALL (GENERAL COUNSEL)
- **Authorized official phone:** (216) 320-8222

## Contact information

- **Practice address:** 22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 44118-4819
- **Practice address phone:** (216) 932-2800
- **Practice address fax:** (216) 932-6704
- **Mailing address:** 22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 44118-4819
- **Mailing address phone:** (216) 932-2800
- **Mailing address fax:** (216) 932-6704

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | 12-1949 | OH | Yes |

## Other

- **Enumeration date:** 11/06/2014
- **Last updated:** 09/17/2024