Organization
STILL WATERS LIFE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONNIE V CHROSNIAK LPC (EXECUTIVE DIRECTOR/OWNER)
(440) 829-1788
Entity
Organization
Contact information
Practice address
10277 VALLEY VIEW RD, MACEDONIA, OH 44056-1740
(440) 829-1788
(440) 888-1970
Mailing address
PO BOX 347134, PARMA, OH 44134-7134
(440) 829-1788
(440) 888-1970
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C.0090570
OH
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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