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Organization

TEREO NARCOTIC TREATMENT CENTER, LLC

Active
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Organization

TEREO NARCOTIC TREATMENT CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CORIE HARGROVE BA,CSAC,ICS (CEO/OWNER)
(262) 260-8370
Entity
Organization

Contact information

Practice address
2405 NORTHWESTERN AVE, SUITE LOWER LEVEL, RACINE, WI 53404-2534
(262) 260-8370
(262) 260-8538
Mailing address
2405 NORTHWESTERN AVE, SUITE LOWER LEVEL, RACINE, WI 53404-2534
(262) 260-8370
(262) 260-8538

Taxonomy

Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—

Other

Enumeration date
07/29/2015
Last updated
08/07/2015
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