Organization
ESPERANZA PRIMARY CARE & BEHAVIOR HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEISHLA MARIE PEREZ RODRIGUEZ (CEO)
(440) 654-5565
Entity
Organization
Contact information
Practice address
1680 COOPER FOSTER PARK RD W STE C, LORAIN, OH 44053-3657
(440) 444-0030
(440) 444-0113
Mailing address
1680 COOPER FOSTER PARK RD W STE C, LORAIN, OH 44053-3657
(440) 444-0030
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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