Organization
NORTH CREEK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE MARIE STEGALL (OWNER)
(937) 403-9108
Entity
Organization
Contact information
Practice address
910 SOUTH ST, GREENFIELD, OH 45123-1249
(405) 053-3817
(937) 462-1385
Mailing address
PO BOX 7, GREENFIELD, OH 45123-0007
(937) 403-9108
(937) 462-1385
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
04/12/2018
Last updated
03/05/2026
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