Shaker Heights Youth Center
NPI #1851355960 in Shaker Heights, Ohio
Provider Information
- NPI Number
- 1851355960
- Entity Type
- Organization
- Organization Name
- Shaker Heights Youth Center
- Primary Specialty
- Voluntary or Charitable
- Enumeration Date
- Apr 14, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 17300 VAN AKEN BLVD
- City
- Shaker Heights
- State
- Ohio
- ZIP Code
- 44120-3460
- Phone
- (216) 752-9292
Authorized Official
- Name
- MR. JOHN JAMES LISY, LISW,LPCC,LICDC,OCPS
- Title
- EXECUTIVE DIRECTOR
- Phone
- (216) 752-9292
Specialties & Taxonomy Codes
| Specialty |
|---|
| Voluntary or Charitable |
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