Organization
SHAKER CLINIC, LLC
Active
Other names
Ohio Clinic for Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER L HOWARD (VP & TREASURER)
(615) 861-6000
Entity
Organization
Contact information
Practice address
880 GREENLAWN AVE, COLUMBUS, OH 43223-2616
(614) 445-4600
Mailing address
6100 TOWER CIR STE 1000, FRANKLIN, TN 37067-1509
(615) 861-6000
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/03/2014
Last updated
10/19/2018
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