Organization
RAVENWOOD MENTAL HEALTH CENTER
Active
Other names
Ravenwood Health
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI CLARK (PRESIDENT AND CEO)
(440) 285-2170
Entity
Organization
Contact information
Practice address
12557 RAVENWOOD DR, CHARDON, OH 44024-9009
(440) 285-3568
Mailing address
12557 RAVENWOOD DR, CHARDON, OH 44024-9009
(440) 285-3568
(440) 285-2207
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2863763
—
OH
Enumeration date
02/28/2019
Last updated
02/28/2019
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