NPI 1467098822

Jordan Community Residential

Organisation Mental Health Counselor Willoughby, OH

Practice location

Address: 30841 Euclid Ave STE 103, Willoughby, OH 44094-3100
Phone: (216) 441-2496
Fax: (216) 634-9611

Authorised official

Name: Tenisha Gant
Title: Chief Executive Officer
Phone: (216) 441-2496

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

Other Counselor providers in Ohio →

Registry record

NPI: 1467098822
Entity type: Organization
NPI issued: 20 Nov 2019
Record last updated: 26 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.