SHAKER CLINIC LLC NPI 1568532620

NPI Information

SHAKER CLINIC, LLC is a mental health (including community mental health center) clinic center in Columbus, OH. SHAKER CLINIC, LLC NPI is 1568532620. The provider is registered as an organization entity type.
The provider Is Doing Business As Ohio Clinic For Psychiatry.

The provider's business location address is:

899 E BROAD ST
COLUMBUS, OH
ZIP 43205-156
Phone: (614) 928-9400
Fax: (614) 928-9401

The provider's authorized official is Christopher L Howard .
The authorized official title is Vp & Secretary and has the following contact phone number (615) 861-6000.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 9/25/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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