| Shaker Clinic, Llc | |
|
2419 E High Ave New Philadelphia OH 44663-3329 | |
| (877) 635-7855 | |
| Not Available |
| Full Name | Shaker Clinic, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2419 E High Ave, New Philadelphia, Ohio |
| Authorized Official Name and Position | Christopher L Howard (VP & SECRETARY) |
| Authorized Official Contact | 6158616000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shaker Clinic, Llc 6100 Tower Cir Ste 1000 Franklin TN 37067-1509 Ph: (615) 861-6000 | Shaker Clinic, Llc 2419 E High Ave New Philadelphia OH 44663-3329 Ph: (877) 635-7855 |
| NPI Number | 1437563129 |
|---|---|
| Provider Enumeration Date | 06/20/2014 |
| Last Update Date | 11/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437563129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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