Organization
NORTHSHORE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA A BRINKMAN LCSW (CLINIC DIRECTOR)
(920) 457-8866
Entity
Organization
Contact information
Practice address
805 N 6TH ST, SHEBOYGAN, WI 53081-4113
(920) 457-8866
(920) 457-8867
Mailing address
805 N 6TH ST, SHEBOYGAN, WI 53081-4113
(920) 457-8866
(920) 457-8867
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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