Green Road Behavioral Health, Inc.

LBN: Green Road Behavioral Health, Inc.
Green Road Behavioral Health, Inc. is an health care organization with primary practice located at 1611 S Green Rd Ste 303 , South Euclid OH 44121-4192. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Green Road Behavioral Health, Inc. can be contacted via phone (216) 297-2053, or through Boyd, Thomas Andrew via phone (216) 297-2053.

Contact Information

Primary practice address
1611 S Green Rd Ste 303 South Euclid OH 44121-4192
Phone: (216) 297-2053
Fax: (216) 297-2031
Website:
Map and Directions
Authorized official contact:
Name: Boyd, Thomas Andrew PSY.D.
Phone: (216) 297-2053

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1750990537
LBN Legal business name Green Road Behavioral Health, Inc.
DBA Doing business as
Authorized official Boyd, Thomas Andrew PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2020
Last updated Jul 28th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750990537 NPPES
Ohio MEDICAID 0681169

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