North Shore Center Llc in Mequon - Mental Health (including Community Mental Health Center)
North Shore Center Llc - NPI 1780755389
North Shore Center Llc is a Mental Health (including Community Mental Health Center) in Mequon, Wisconsin. North Shore Center Llc practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for North Shore Center Llc is 1780755389. The last update date is 2020-08-22.
North Shore Center Llc's current location address is 10303 N Port Washington Rd, Mequon, Wisconsin. You can contact this provider via phone number 2622415955 and fax number 2622415926. The mailing address for North Shore Center Llc is 10303 N Port Washington Rd, Mequon, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | North Shore Center Llc |
|---|---|
| Address | 10303 N Port Washington Rd, Mequon, Wisconsin |
| Phone Number | 2622415955 |
| Fax Number | 2622415926 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Mazius Michael |
| Credentials | PHD |
| Telephone Number | 2622415955 |
NPI Number Detail
| NPI Number | 1780755389 |
|---|---|
| Provider Enumeration Date | 2006-11-13 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 10303 N Port Washington Rd |
|---|---|
| City | Mequon |
| State | Wisconsin (WI) |
| Post Code | 53092 |
| Phone Number | 2622415955 |
| Fax Number | 2622415926 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health (including Community Mental Health Center) |
|---|---|
| Taxonomy | 261Qm0801X |
|
Definition: Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42204700 | WI | -- |
Post Comment/ Review Below
What is the North Shore Center Llc's 1780755389?
The North Shore Center Llc's NPI (National Provider Identifier) Number is 1780755389. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where North Shore Center Llc's facilities are situated?
The facilities of North Shore Center Llc are physically located at the following address: 10303 N Port Washington Rd, Mequon, WI, 53092.
What is North Shore Center Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The North Shore Center Llc's area of specialization is Mental Health (including Community Mental Health Center), and the corresponding taxonomy code that categorizes this field of practice is 261Qm0801X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1780755389 to North Shore Center Llc?
The Centers for Medicare & Medicaid Services originally issued the 1780755389 to North Shore Center Llc on 2006-11-13.
As of what date was the information pertaining to North Shore Center Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to North Shore Center Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.