| The North Coast Center | |
|
4200 Park Ave The North Coast Center Ashtabula OH 44004 | |
| (440) 992-8552 | |
| Not Available |
| Full Name | The North Coast Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4200 Park Ave, Ashtabula, Ohio |
| Authorized Official Name and Position | Jayant S. Choure (PHYSICIAN) |
| Authorized Official Contact | 4409928552 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The North Coast Center 2250 Par Ln Apt # 723 Willoughby OH 44094-2921 Ph: (440) 516-1434 | The North Coast Center 4200 Park Ave The North Coast Center Ashtabula OH 44004 Ph: (440) 992-8552 |
| NPI Number | 1043340946 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043340946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 85719 (Ohio) | Primary |
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