Organization
SHAKER CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER HOWARD (VP & TREASURER)
(615) 861-6000
Entity
Organization
Contact information
Practice address
20600 CHAGRIN BLVD, SUITE 620, SHAKER HEIGHTS, OH 44122-5327
(216) 751-4762
(216) 751-5894
Mailing address
6000 TOWER CIRCLE, SUITE 1000, FRANKLIN, TN 37067
(615) 861-1000
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0519
OH
Other
Enumeration date
08/30/2006
Last updated
09/25/2018
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