Organization
FAR WEST CENTER
Active
Other names
SUBPART LOCATION - AMHERST
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL FAYETTE RADOCAJ (VP OF FINANCIAL SYSTEMS)
(440) 835-6212
Entity
Organization
Contact information
Practice address
554 N LEAVITT RD, AMHERST, OH 44001-1131
(440) 988-4900
(440) 988-4910
Mailing address
29133 HEALTH CAMPUS DR, BLDG. 4, WESTLAKE, OH 44145-5256
(440) 835-6212
(440) 835-6231
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0308483
—
OH
Enumeration date
04/25/2006
Last updated
09/11/2025
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