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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