OrganizationActive
Bellefaire Jcb
NPI 1629337704 · Children's Substance Abuse Rehabilitation Facility · Shaker Heights, OH
Provider details
- NPI number
- 1629337704
- Entity type
- Organization
- Primary specialty
- Children's Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Parent organization
- Wingspan Care Group
- Authorized official
- Leigh Hall, General Counsel
- License
- 02447 (OH)
Practice location
22001 Fairmount Blvd
Shaker Heights, OH 44118-4819
Phone: (216) 932-2800
Fax: (216) 932-6704
Mailing address
22001 Fairmount Blvd
Shaker Heights, OH 44118-4819
Registry dates
- Enumerated
- 2012-05-10
- Last updated
- 2023-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.