Organization
LAKE-GEAUGA RECOVERY CENTERS, INC.
Active
Other names
Lake Geauga Center on Alcoholism and Drug Abuse Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELANIE J BLASKO LICDC (PRESIDENT CEO)
(440) 205-2674
Entity
Organization
Contact information
Practice address
9083 MENTOR AVENUE, MENTOR, OH 44060-6348
(440) 205-2674
(440) 255-6348
Mailing address
9083 MENTOR AVENUE, MENTOR, OH 44060-6348
(440) 205-2674
(440) 255-6348
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316
—
OH
Enumeration date
09/21/2006
Last updated
12/02/2011
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