Organization
NORTH COAST COUNSELING SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER MICHAEL DIMEZZA (PRESIDENT)
(440) 967-7700
Entity
Organization
Contact information
Practice address
1607 STATE ROUTE 60, SUITE 9, VERMILION, OH 44089
(440) 967-7700
Mailing address
1607 STATE RD STE 9, VERMILION, OH 44089-9142
(440) 967-7700
(440) 967-7701
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
I1463
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
=========
EIN
OH
Enumeration date
06/30/2010
Last updated
06/19/2019
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