North Shore Center II LLC

NPI #1114730355 in Mequon, Wisconsin

Provider Information

NPI Number: 1114730355
Entity Type: Organization
Organization Name: North Shore Center II LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jan 30, 2025
Last Updated: Jan 30, 2025

Practice Location

Address: 1500 W MARKET ST STE 200
City: Mequon
State: Wisconsin
ZIP Code: 53092-5083
Phone: (262) 241-5955

Authorized Official

Name: JENNIFER STROM
Title: MANAGER
Phone: (262) 241-5955

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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