Organization
STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING
Active
Other names
Northcoast Behavioral Healthcare, Cleveland Campus
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVE COLLETTI (CEO)
(216) 787-0500
Entity
Organization
Contact information
Practice address
1708 SOUTHPOINT DR, CLEVELAND, OH 44109-1911
(216) 787-0500
(216) 787-0633
Mailing address
30 E BROAD ST, 11TH FL, ATTN:TONYA FASONE, COLUMBUS, OH 43215-3414
(614) 466-9930
(614) 644-9116
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
NA
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150170
—
OH
Enumeration date
02/15/2006
Last updated
10/06/2010
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