Norris Adolescent Center in Mukwonago - Residential Treatment Facility, Emotionally Disturbed Children
Norris Adolescent Center - NPI 1235304056
Norris Adolescent Center is a Residential Treatment Facility, Emotionally Disturbed Children in Mukwonago, Wisconsin. Norris Adolescent Center practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Norris Adolescent Center is 1235304056. The last update date is 2008-04-23.
Norris Adolescent Center's current location address is W247s10395 Center Dr, Mukwonago, Wisconsin. You can contact this provider via phone number 2626625900 and fax number 2626625688. The mailing address for Norris Adolescent Center is W247s10395 Center Dr, Mukwonago, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Norris Adolescent Center |
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Address | W247s10395 Center Dr, Mukwonago, Wisconsin |
Phone Number | 2626625900 |
Fax Number | 2626625688 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | EXECUTIVE |
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Authorized Official Name | Harris Stewart Donald |
Credentials | MSW |
Telephone Number | 1262662590 |
NPI Number Detail
NPI Number | 1235304056 |
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Provider Enumeration Date | 2008-04-23 |
Last Updated Date | 2008-04-23 |
Provider Mailing Address Detail
Address | W247s10395 Center Dr |
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City | Mukwonago |
State | Wisconsin (WI) |
Post Code | 531499166 |
Phone Number | 2626625900 |
Fax Number | 2626625688 |
Provider's Primary Taxonomy Detail
Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
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Taxonomy | 322D00000X |
Licence No | 265004 |
Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
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What is the Norris Adolescent Center's unique identification number?
The Norris Adolescent Center has been assigned the NPI (National Provider Identifier) Number 1235304056 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Norris Adolescent Center?
The Norris Adolescent Center is physically situated at W247S10395 Center Dr, in the city of Mukwonago, state of WI, with the postal code 531499166.
What is Norris Adolescent Center's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Norris Adolescent Center is Residential Treatment Facility, Emotionally Disturbed Children, and the taxonomy code that categorizes this field of expertise is 322D00000X.
On what date did Norris Adolescent Center receive its 1235304056 assignment from the Centers for Medicare & Medicaid Services?
The Norris Adolescent Center was assigned its 1235304056 on 2008-04-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Norris Adolescent Center, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Norris Adolescent Center, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-04-23.