Organization
PERSON-CENTERED BEHAVIORAL HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAKIRAH WILSON RN (OWNER OPERATOR)
(216) 855-3637
Entity
Organization
Contact information
Practice address
3725 HILDANA RD, SHAKER HEIGHTS, OH 44120-5005
(216) 417-0939
Mailing address
3725 HILDANA RD, SHAKER HEIGHTS, OH 44120-5005
(216) 417-0939
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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