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Organization
ALLIED MENTAL HEALTH REHABILITATION CLINICS
Active
Organization
ALLIED MENTAL HEALTH REHABILITATION CLINICS
Active
Parent organization
JAMES L PAQUETTE PHD SC
Organization subpart
Yes
Provider details
NPI number
Legal business name
JAMES L PAQUETTE PHD SC
Authorized official
DR. JAMES LOUIS PAQUETTE PHD (DIRECTOR OWNER)
(262) 255-4178
Entity
Organization
Contact information
Practice address
N84 W19587 MENOMONEE AVE, MENOMONEE FALLS, WI 53051-1826
(262) 255-4178
(262) 255-4448
Mailing address
N84 W19587 MENOMONEE AVE, MENOMONEE FALLS, WI 53051-1826
(262) 255-4178
(262) 255-4448
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42148100
—
WI
Enumeration date
09/24/2008
Last updated
09/24/2008
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