| Signature Health, Inc | |
|
4200 Park Ave 2nd Floor Ashtabula OH 44004-6887 | |
| (440) 992-8552 | |
| (440) 992-8537 |
| Full Name | Signature Health, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4200 Park Ave, Ashtabula, Ohio |
| Authorized Official Name and Position | Jonathan Albert Lee (CEO) |
| Authorized Official Contact | 4409539999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Signature Health, Inc 38879 Mentor Ave Suite C Willoughby OH 44094-7992 Ph: (440) 953-9999 | Signature Health, Inc 4200 Park Ave 2nd Floor Ashtabula OH 44004-6887 Ph: (440) 992-8552 |
| NPI Number | 1407879406 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 10/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407879406 | NPI | - | NPPES |
| 2325835 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 0467 (Ohio) | Primary |
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