Organization
RAVENWOOD MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KORINNE GONGOS M.ED., LPC-TEMP (MENTAL HEALTH THERAPIST)
(440) 285-3568
Entity
Organization
Contact information
Practice address
12557 RAVENWOOD DR, CHARDON, OH 44024-9009
(440) 285-3568
Mailing address
118 GREENCLIFF DR, BEDFORD, OH 44146-3442
(216) 587-5935
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C.0500215.TEMP
OH
Other
Enumeration date
02/14/2007
Last updated
08/22/2020
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