Organization
OHIOGUIDESTONE
Active
Other names
berea childrens home & family services
Organization subpart
No
Provider details
NPI number
Authorized official
BEN KEARNY (VICE PRESIDENT/CCO)
(440) 234-2006
Entity
Organization
Contact information
Practice address
202 E BAGLEY RD, BEREA, OH 44017-2058
(440) 234-2006
Mailing address
434 EASTLAND RD., BEREA, OH 44017-2058
(440) 260-8300
(440) 234-8319
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
C0600169
OH
Other
Enumeration date
03/06/2012
Last updated
08/15/2017
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