Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN COMMUNITY RESIDENTIAL CENTER
Active OrganizationJORDAN COMMUNITY RESIDENTIAL CENTER is a Addiction (Substance Use Disorder) Psychologist organization located in WILLOUGHBY, Ohio. NPI 1164068524 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Psychologist · WILLOUGHBY, OH
Registration Details
- NPI Number
- 1164068524
- Provider Type
- Organization
- NPI Issued
- Nov 20, 2019 (6.768365432403 yrs)
- Last Updated
- Feb 4, 2025
Practice Information
- Address
-
30841 EUCLID AVE STE 103WILLOUGHBY, OH, 440943100Browse OH providers · Browse ZIP 44094
- Phone
- 2164412496
- Fax
- 2166349611
- Primary Specialty
-
Addiction (Substance Use Disorder) Psychologist
103TA0400X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.