Organization
LAKE-GEAUGA RECOVERY CENTERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELANIE BLASKO (PRESIDENT & CEO)
(440) 205-2674
Entity
Organization
Contact information
Practice address
9083 MENTOR AVE, MENTOR, OH 44060-6462
(440) 255-0678
(440) 255-6348
Mailing address
9083 MENTOR AVE, MENTOR, OH 44060-6462
(440) 255-0678
(440) 255-6348
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2864664
—
OH
Enumeration date
04/12/2012
Last updated
05/07/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us