Organization · Type 2 NPI

Geauga Medical Therapy Center LLC

Addiction Medicine (Family Medicine) Physician · Chardon, OH

NPI number 1376911495 Active

Practice location

13170 Ravenna Rd, Suite 108
Chardon, OH 44024-7025

Fax (440) 279-4009

Mailing address

125 W Mcdowell Rd, Suite A
Phoenix, AZ 85003-1223

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Family Medicine) Physician Primary 207QA0401XNone listed
Community Health Clinic/Center 261QC1500XNone listed
Primary Care Clinic/Center 261QP2300X35.122879 (OH)

Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.

11 other providers at this address

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About NPI 1376911495

Geauga Medical Therapy Center LLC's National Provider Identifier is 1376911495, issued on Sep 5, 2015. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Chardon, OH. The record was last updated on Jul 12, 2016.