Organization
LAKE COUNTY SHERIFFS OFFICE JAIL TREATMENT PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE SMITH JR. BA CCDCIIIE (PROGRAM DIRECTOR)
(440) 350-5669
Entity
Organization
Contact information
Practice address
104 EAST ERIE STREET, SUITE 320, PAINESVILLE, OH 44077-3910
(440) 350-5669
(440) 350-5668
Mailing address
104 EAST ERIE STREET, LAKE COUNTY SHERIFFS OFFICE SUITE 320, PAINESVILLE, OH 44077-3910
(440) 350-5669
(440) 350-5668
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6655
OH
Other
Enumeration date
10/10/2006
Last updated
08/22/2020
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