| Brenda Glass Multipurpose Trauma Center | |
|
24885 Randolph Rd Bedford Hts OH 44146-3946 | |
| (440) 836-2576 | |
| Not Available |
| Full Name | Brenda Glass Multipurpose Trauma Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 24885 Randolph Rd, Bedford Hts, Ohio |
| Authorized Official Name and Position | Brenda Glass (FOUNDER & CEO) |
| Authorized Official Contact | 4408362576 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda Glass Multipurpose Trauma Center 24885 Randolph Rd Bedford Hts OH 44146-3946 Ph: (440) 836-2576 | Brenda Glass Multipurpose Trauma Center 24885 Randolph Rd Bedford Hts OH 44146-3946 Ph: (440) 836-2576 |
| NPI Number | 1225675796 |
|---|---|
| Provider Enumeration Date | 12/04/2019 |
| Last Update Date | 12/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225675796 | NPI | - | NPPES |
| 0161017 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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