Organization
WINGSPAN CARE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEIGH HALL JD, LISW-S (GENERAL COUNSEL)
(216) 320-8222
Entity
Organization
Contact information
Practice address
22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 44118-4819
(216) 320-8222
(216) 320-8733
Mailing address
22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 44118-4819
(216) 320-8222
(216) 320-8733
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
12/10/2018
Last updated
03/26/2026
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