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North Shore Center Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Mequon, Wisconsin
NPI 1780755389

North Shore Center Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Mequon, WI and is specialized in Mental Health (Including Community Mental Health Center). North Shore Center Llc practices in Mequon, WI. The NPI Number for North Shore Center Llc is 1780755389 and holds a License No. (Wisconsin).

The current practice location address for North Shore Center Llc is 1500 W Market St Ste 200, Mequon, WI and can be reached out via phone at 262-241-5955 and via fax at 262-241-5926.

Location: 1500 W Market St Ste 200, Mequon, WI, 53092-5083
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780755389
Provider Name
North Shore Center Llc
Credential
Provider Entity Type
Organization
Address
1500 W Market St Ste 200, Mequon, WI, 53092-5083
Phone Number
262-241-5955
Fax Number
262-241-5926
Provider Enumeration Date
11/13/2006
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42204700 05 WI
institution
Provider Business Practice Location Address Details
Address
1500 W Market St Ste 200
City
Mequon
State
Wisconsin
Zip
53092-5083
Phone Number
262-241-5955
Fax Number
262-241-5926
person
Provider Business Mailing Address Details
Address
1500 W Market St Ste 200
City
Mequon
State
Wisconsin
Zip
53092-5083
Phone Number
262-241-5955
Fax Number
262-241-5926
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
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Definition
Definition to come...
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