Bellefaire Jcb

NPI #1376802249 in Elyria, Ohio

Provider Information

NPI Number: 1376802249
Entity Type: Organization
Organization Name: Bellefaire Jcb
Subpart: Yes (part of a larger organization)
Parent Organization: WINGSPAN CARE GROUP
Primary Specialty: Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children
Enumeration Date: May 11, 2012
Last Updated: May 17, 2012

Practice Location

Address: 347 MIDWAY BLVD
City: Elyria
State: Ohio
ZIP Code: 44035-9006
Phone: (440) 324-5701

Authorized Official

Name: THOMAS J BROWNE
Title: CFO
Phone: (216) 320-8221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X
Substance Abuse Rehabilitation Facility	324500000X
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children	3245S0500X	Primary

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