| The Krystal Foundation | |
|
625 Dewey Ave Elyria OH 44035-3553 | |
| (216) 242-8152 | |
| Not Available |
| Full Name | The Krystal Foundation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 625 Dewey Ave, Elyria, Ohio |
| Authorized Official Name and Position | Krystal Brantley (EXECUTIVE DIRECTOR/PRESIDENT) |
| Authorized Official Contact | 2162428152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Krystal Foundation 625 Dewey Ave Elyria OH 44035-3553 Ph: (216) 242-8152 | The Krystal Foundation 625 Dewey Ave Elyria OH 44035-3553 Ph: (216) 242-8152 |
| NPI Number | 1609798933 |
|---|---|
| Provider Enumeration Date | 07/28/2026 |
| Last Update Date | 07/28/2026 |
| Certification Date | 07/28/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609798933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
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