Organization
SIGNATURE HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN ALBERT LEE (CEO)
(440) 578-8200
Entity
Organization
Contact information
Practice address
3001 PROSPECT AVENUE, CLEVELAND, OH 44115
(440) 578-8200
Mailing address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 578-8200
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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