Organization
THE NORTH COAST CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYANT S. CHOURE MD (PHYSICIAN)
(440) 992-8552
Entity
Organization
Contact information
Practice address
4200 PARK AVE, THE NORTH COAST CENTER, ASHTABULA, OH 44004
(440) 992-8552
Mailing address
2250 PAR LN, APT # 723, WILLOUGHBY, OH 44094-2921
(440) 516-1434
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
85719
OH
Other
Enumeration date
03/07/2007
Last updated
08/22/2020
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