Organization
OHIOGUIDESTONE
Active
Other names
berea children's home
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEN KEARNEY PH.D. (VICE PRESIDENT, COUNSELING)
(440) 260-8340
Entity
Organization
Contact information
Practice address
303 E BAGLEY RD, BEREA, OH 44017-2040
(440) 260-8366
Mailing address
434 EASTLAND RD., BEREA, OH 44017-2058
(440) 260-8300
(440) 234-8319
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
E0004854
OH
Other
Enumeration date
01/19/2012
Last updated
08/15/2017
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