Provider Demographics
NPI:1174082390
Name:SYMETRIA HEALTH OF OHIO, L.L.C.
Entity type:Organization
Organization Name:SYMETRIA HEALTH OF OHIO, L.L.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:HASSAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-782-6966
Mailing Address - Street 1:40 SHUMAN BLVD
Mailing Address - Street 2:SUITE 262
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563
Mailing Address - Country:US
Mailing Address - Phone:888-782-6966
Mailing Address - Fax:630-818-7866
Practice Address - Street 1:4015 MEDINA RD STE 50
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-5970
Practice Address - Country:US
Practice Address - Phone:888-782-6966
Practice Address - Fax:630-870-1284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-18
Last Update Date:2019-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder