Healthcare Provider Details

I. General information

NPI: 1699181602
Provider Name (Legal Business Name): APPLEWOOD CENTERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2014
Last Update Date: 07/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

347 MIDWAY BLVD STE 306
ELYRIA OH
44035-2496
US

IV. Provider business mailing address

347 MIDWAY BLVD STE 306
ELYRIA OH
44035-2496
US

V. Phone/Fax

Practice location:
  • Phone: 440-324-1300
  • Fax: 440-324-0070
Mailing address:
  • Phone: 440-324-1300
  • Fax: 440-324-0070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number13661
License Number StateOH

VIII. Authorized Official

Name: THOMAS J BROWNE
Title or Position: CFO
Credential:
Phone: 216-320-8221