Organization
MALE BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEWEL WOODS JR. LISW (EXECUTIVE DIRECTOR)
(216) 224-5472
Entity
Organization
Contact information
Practice address
1298 CRYSTAL TREE CT, BLACKLICK, OH 43004-8247
(614) 454-1039
Mailing address
1298 CRYSTAL TREE CT, BLACKLICK, OH 43004-8247
(216) 224-5472
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/08/2019
Last updated
07/02/2019
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