Organization
RENAISSANCE BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA SULLIVAN (CREDENTIALING SPECIALIST)
(440) 606-2003
Entity
Organization
Contact information
Practice address
3740 EUCLID AVE STE 101, CLEVELAND, OH 44115-2229
(440) 606-2003
Mailing address
3740 EUCLID AVE STE 101, CLEVELAND, OH 44115-2229
(440) 606-2003
(216) 785-9200
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/02/2021
Last updated
11/02/2021
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