OrganizationActive
Bellefaire Jcb
NPI 1376802249 · Children's Substance Abuse Rehabilitation Facility · Elyria, OH
Provider details
- NPI number
- 1376802249
- Entity type
- Organization
- Primary specialty
- Children's Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Parent organization
- Wingspan Care Group
- Authorized official
- Thomas Browne, Cfo
- License
- 0009 (OH)
Practice location
347 Midway Blvd
Elyria, OH 44035-9006
Phone: (440) 324-5701
Fax: (440) 324-9978
Mailing address
347 Midway Blvd
Elyria, OH 44035-9006
Registry dates
- Enumerated
- 2012-05-11
- Last updated
- 2012-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.