North Shores Center, LLC

NPI #1962060541 in Oscoda, Michigan

Provider Information

NPI Number: 1962060541
Entity Type: Organization
Organization Name: North Shores Center, LLC
Primary Specialty: Clinic/Center - Adult Mental Health
Enumeration Date: May 30, 2019
Last Updated: Jun 11, 2019

Practice Location

Address: 6193 NORWAY RD
City: Oscoda
State: Michigan
ZIP Code: 48750-8739
Phone: (989) 569-3772

Authorized Official

Name: JILL LEBOURDAIS, PA-C
Title: LICENSEE
Phone: (989) 493-1451

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X	Primary

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