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Edwin Shaw Rehab Llc
Children's Substance Abuse Rehabilitation Facility in Cuyahoga Falls, Ohio
NPI 1821184326

Edwin Shaw Rehab Llc is a Children's Substance Abuse Rehabilitation Facility based in Cuyahoga Falls, OH and is specialized in Substance Abuse Treatment, Children. Edwin Shaw Rehab Llc practices in Cuyahoga Falls, OH. The NPI Number for Edwin Shaw Rehab Llc is 1821184326 and holds a License No. (Ohio).

The current practice location address for Edwin Shaw Rehab Llc is 330 Broadway St E, Cuyahoga Falls, OH and can be reached out via phone at 330-784-1271. You can also correspond with Edwin Shaw Rehab Llc through the mailing address at 330 BROADWAY ST E, CUYAHOGA FALLS, OH - 44221-3312 (mailing address contact number: 330-784-1271).

Location: 330 Broadway St E, Cuyahoga Falls, OH, 44221-3312
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821184326
Provider Name
Edwin Shaw Rehab Llc
Credential
Provider Entity Type
Organization
Address
330 Broadway St E, Cuyahoga Falls, OH, 44221-3312
Phone Number
330-784-1271
Fax Number
Provider Enumeration Date
10/04/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000360929 01 OH ANTHEM BLUE CROSS
100098 01 OH QUALCHOICE
2600751 05 OH
institution
Provider Business Practice Location Address Details
Address
330 Broadway St E
City
Cuyahoga Falls
State
Ohio
Zip
44221-3312
Phone Number
330-784-1271
Fax Number
person
Provider Business Mailing Address Details
Address
330 Broadway St E
City
Cuyahoga Falls
State
Ohio
Zip
44221-3312
Phone Number
330-784-1271
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
person
Provider's Taxonomy Details 4
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
3245S0500X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
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