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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033305941
NPI NUMBER
WI
Enumeration date
03/06/2019
Last updated
03/06/2019
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