Organization
NCC ASSOCIATES, LLC
Active
Parent organization
NORTH COAST CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH COAST CENTER, INC.
Authorized official
JONATHAN LEE (EXECUTIVE DIRECTOR)
(440) 953-9999
Entity
Organization
Contact information
Practice address
2421 LAKE AVE, ASHTABULA, OH 44004-4953
(440) 992-9429
(440) 992-6196
Mailing address
38879 MENTOR AVE, SUITE C, WILLOUGHBY, OH 44094-7992
(440) 953-9999
(440) 918-3839
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
07/31/2008
Last updated
07/31/2008
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