Organization
NORTH COAST MENTAL HEALTH ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAREN WISHNEK (PRACTICE MANAGER)
(216) 464-5330
Entity
Organization
Contact information
Practice address
3690 ORANGE PL, 430, BEACHWOOD, OH 44122-4464
(216) 464-5330
Mailing address
3690 ORANGE PL, 430, BEACHWOOD, OH 44122-4464
(216) 464-5330
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0151231
—
OH
Enumeration date
09/25/2006
Last updated
11/28/2016
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