Basic Information
| Provider Information | |||||||||
| NPI: | 1730531211 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CONNECTIONS HEALTH WELLNESS ADVOCACY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8562 OAKTREE DR | ||||||||
| Address2: | |||||||||
| City: | MACEDONIA | ||||||||
| State: | OH | ||||||||
| PostalCode: | 440562063 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 24200 CHAGRIN BLVD | ||||||||
| Address2: | |||||||||
| City: | BEACHWOOD | ||||||||
| State: | OH | ||||||||
| PostalCode: | 441225550 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2168316466 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/07/2016 | ||||||||
| LastUpdateDate: | 07/07/2016 | ||||||||
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| AuthorizedOfficialLastName: | FLETCHER | ||||||||
| AuthorizedOfficialFirstName: | DAWN | ||||||||
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| AuthorizedOfficialTitleorPosition: | BILLING MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 2168316466 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | C.1300744 | OH | Y | Agencies | Community/Behavioral Health |
No ID Information.