Organization
RIVEON MENTAL HEALTH AND RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA BECK (CHIEF FINANCIAL OFFICER)
(440) 204-4193
Entity
Organization
Contact information
Practice address
6140 S BROADWAY, LORAIN, OH 44053-3821
(440) 233-7232
(440) 233-9070
Mailing address
6140 S BROADWAY, LORAIN, OH 44053-3821
(440) 233-7232
(440) 233-9070
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01147
ODMH UNIVERSAL PROV. ID
OH
05
—
MC-28-05-00
—
OH
Enumeration date
03/10/2006
Last updated
08/16/2024
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