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Organization

CROSSROADS HEALTH

Active
Other names
Crossroads Lake County Adolescent Counseling
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL MATONEY MB, LICDC (CEO)
(440) 255-1700
Entity
Organization

Contact information

Practice address
8445 MUNSON ROAD, MENTOR, OH 44060
(440) 255-1700
(440) 205-2417
Mailing address
8445 MUNSON ROAD, MENTOR, OH 44060
(440) 255-1700
(440) 205-2417

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
251S00000X
Community/Behavioral Health Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2863727
OH
Enumeration date
05/03/2012
Last updated
11/11/2021
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