Jordan Community Residential
Jordan Community Residential provides Mental Health Counselor services in Willoughby, Ohio. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
30841 Euclid Ave Ste 103Willoughby, OH 44094-3100
Phone: (216) 441-2496
Fax: (216) 634-9611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1467098822 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tenisha Gant — Chief Executive Officer · (216) 441-2496 |
| NPI enumerated | November 20, 2019 |
| Last updated in NPPES | April 26, 2024 |
| Certification date | April 24, 2024 |
| Mailing address | 30841 Euclid Ave Ste 103, Willoughby, OH 44094-3100 |
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