Organization
RAVENWOOD MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID BOYLE (CEO)
(440) 285-3568
Entity
Organization
Contact information
Practice address
12557 RAVENWOOD DR, CHARDON, OH 44024-9009
(440) 285-3568
(440) 285-4552
Mailing address
12557 RAVENWOOD DR, CHARDON, OH 44024-9009
(440) 285-3568
(440) 285-4552
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0274
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0576916
—
OH
Enumeration date
05/14/2008
Last updated
05/14/2008
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