Healthcare Provider Details

I. General information

NPI: 1396668315
Provider Name (Legal Business Name): JOSHUA TREE BEHAVIORAL HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21270 LORAIN RD
FAIRVIEW PARK OH
44126-2121
US

IV. Provider business mailing address

21270 LORAIN RD
FAIRVIEW PARK OH
44126-2121
US

V. Phone/Fax

Practice location:
  • Phone: 440-672-1299
  • Fax: 440-672-1240
Mailing address:
  • Phone: 440-672-1299
  • Fax: 440-672-1240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER WILKES
Title or Position: CEO
Credential:
Phone: 440-672-1299