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Bellefaire Jcb
Children's Substance Abuse Rehabilitation Facility in Elyria, Ohio
NPI 1376802249

Bellefaire Jcb is a Children's Substance Abuse Rehabilitation Facility based in Elyria, OH and is specialized in Substance Abuse Treatment, Children. Bellefaire Jcb practices in Elyria, OH. The NPI Number for Bellefaire Jcb is 1376802249 and holds a License No. 0009 (Ohio).

The current practice location address for Bellefaire Jcb is 347 Midway Blvd, Elyria, OH and can be reached out via phone at 440-324-5701 and via fax at 440-324-9978.

Location: 347 Midway Blvd, Elyria, OH, 44035-9006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376802249
Provider Name
Bellefaire Jcb
Credential
Provider Entity Type
Organization
Address
347 Midway Blvd, Elyria, OH, 44035-9006
Phone Number
440-324-5701
Fax Number
440-324-9978
Provider Enumeration Date
05/11/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02477 05 OH
10415 05 OH
institution
Provider Business Practice Location Address Details
Address
347 Midway Blvd
City
Elyria
State
Ohio
Zip
44035-9006
Phone Number
440-324-5701
Fax Number
440-324-9978
person
Provider Business Mailing Address Details
Address
347 Midway Blvd
City
Elyria
State
Ohio
Zip
44035-9006
Phone Number
440-324-5701
Fax Number
440-324-9978
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
0009 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
0009 (Ohio)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
3245S0500X
License No.
0009 (Ohio)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
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