Organization · Type 2 NPI
Lakeshore Pond LLC
Mental Illness Community Based Residential Treatment Facility · Cleveland, OH
NPI number
1154048320
Active
Practice location
1757 Wickford Rd
Cleveland, OH 44112-1207
Mailing address
25000 Euclid Ave Ste 401
Euclid, OH 44117-2645
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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About NPI 1154048320
Lakeshore Pond LLC's National Provider Identifier is 1154048320, issued on Oct 27, 2022. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Cleveland, OH. The record was last updated on Dec 7, 2022.