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Bellefaire Jcb
Children's Substance Abuse Rehabilitation Facility in Shaker Heights, Ohio
NPI 1629337704

Bellefaire Jcb is a Children's Substance Abuse Rehabilitation Facility based in Shaker Heights, OH and is specialized in Substance Abuse Treatment, Children. Bellefaire Jcb practices in Shaker Heights, OH. The NPI Number for Bellefaire Jcb is 1629337704 and holds a License No. 02447 (Ohio).

The current practice location address for Bellefaire Jcb is 22001 Fairmount Blvd, Shaker Heights, OH and can be reached out via phone at 216-932-2800 and via fax at 216-932-6704.

Location: 22001 Fairmount Blvd, Shaker Heights, OH, 44118-4819
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629337704
Provider Name
Bellefaire Jcb
Credential
Provider Entity Type
Organization
Address
22001 Fairmount Blvd, Shaker Heights, OH, 44118-4819
Phone Number
216-932-2800
Fax Number
216-932-6704
Provider Enumeration Date
05/10/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10415 05 OH
02447 05 OH
institution
Provider Business Practice Location Address Details
Address
22001 Fairmount Blvd
City
Shaker Heights
State
Ohio
Zip
44118-4819
Phone Number
216-932-2800
Fax Number
216-932-6704
person
Provider Business Mailing Address Details
Address
22001 Fairmount Blvd
City
Shaker Heights
State
Ohio
Zip
44118-4819
Phone Number
216-932-2800
Fax Number
216-932-6704
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
02447 (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.
02447 (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.
02447 (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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