Northeast Ohio Behavioral Health

LBN: Northeast Ohio Behavioral Health
Northeast Ohio Behavioral Health is an health care organization with primary practice located at 4347 Portage St Nw Suite 103, North Canton OH 44720-7371. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Northeast Ohio Behavioral Health can be contacted via phone (330) 494-5155, or through Tener, Robin R. via phone (330) 945-7100.

Contact Information

Primary practice address
4347 Portage St Nw Suite 103 North Canton OH 44720-7371
Phone: (330) 494-5155
Fax: (330) 494-6868
Website:
Map and Directions
Authorized official contact:
Name: Tener, Robin R. PH.D.
Phone: (330) 945-7100

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0483 Ohio

Profile Details

NPI number 1679699573
LBN Legal business name Northeast Ohio Behavioral Health
DBA Doing business as
Authorized official Tener, Robin R. PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2007
Last updated Aug 22nd, 2020 - about 5 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 1679699573 NPPES
Ohio MEDICAID 10034
Ohio MEDICAID 10024

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