Jewish Family Service Assocation Psychobiology Clinic

LBN: Jewish Family Service Assocation Psychobiology Clinic
Jewish Family Service Assocation Psychobiology Clinic is an health care organization with primary practice located at 12200 Fairhill Rd , Cleveland OH 44120-1058. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Jewish Family Service Assocation Psychobiology Clinic can be contacted via phone (216) 292-3999, or through Hlavac, David via phone (216) 292-3999.

Contact Information

Primary practice address
12200 Fairhill Rd Cleveland OH 44120-1058
Phone: (216) 292-3999
Fax: (216) 292-6313
Website:
Map and Directions
Authorized official contact:
Name: Hlavac, David
Phone: (216) 292-3999

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1689702573
LBN Legal business name Jewish Family Service Assocation Psychobiology Clinic
DBA Doing business as
Authorized official Hlavac, David
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2007
Last updated Dec 17th, 2007 - about 17 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 1689702573 NPPES
Ohio MEDICAID 0574061
Ohio MEDICAID 0959566
Ohio Other 4618

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