Organization
APPLEWOOD CENTERS, INC.
Active
Parent organization
WINGSPAN CARE GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
WINGSPAN CARE GROUP
Authorized official
ADAM G. JACOBS PH.D. (PRESIDENT)
(216) 932-2800
Entity
Organization
Contact information
Practice address
347 MIDWAY BLVD, ELYRIA, OH 44035-9006
(440) 324-1300
(440) 324-0070
Mailing address
10427 DETROIT AVE, CLEVELAND, OH 44102-1645
(216) 521-6511
(216) 521-6006
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
OH
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
OH
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
OH
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010135
OHIO MHAS
OH
01
—
10117
CUYAHOGA UPID
OH
01
—
10363
LORAIN UPID
OH
05
—
10363
—
OH
Enumeration date
03/14/2006
Last updated
11/28/2016
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