Marymount Behavioral Health Services

NPI #1710187364 in Independence, Ohio

Provider Information

NPI Number: 1710187364
Entity Type: Organization
Organization Name: Marymount Behavioral Health Services
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jul 23, 2007
Last Updated: Jul 23, 2007

Practice Location

Address: 6000 W CREEK RD
Address 2: SUITE 20
City: Independence
State: Ohio
ZIP Code: 44131-2139
Phone: (216) 986-1169

Authorized Official

Name: MARK SUSIN, LISW
Title: DIRECTOR
Phone: (216) 986-1169

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - School — School	101YS0200X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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