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Organization
CENTER FOR EMOTIONAL WELLNESS LLC.
Active
Organization
CENTER FOR EMOTIONAL WELLNESS LLC.
Active
Other names
Center Of Emotional Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
CHIRAG SHAH MD (MEDICAL DIRECTOR)
(262) 235-3311
Entity
Organization
Contact information
Practice address
W156N8327 PILGRIM RD STE 301, MENOMONEE FLS, WI 53051-3776
(262) 235-3311
(262) 235-3310
Mailing address
W156N8327 PILGRIM RD STE 301, MENOMONEE FLS, WI 53051-3776
(262) 235-3311
(262) 235-3310
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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