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Organization

DELTA CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AIMEE MEYER MS, LPC (CO OWNER/CO DIRECTOR)
(920) 921-3343
Entity
Organization

Contact information

Practice address
196 E THIRD STREET, FOND DU LAC, WI 54935
(920) 921-3343
(920) 921-0989
Mailing address
196 E THIRD STREET, FOND DU LAC, WI 54935
(920) 921-3343
(920) 921-0989

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1274
WI

Other

Enumeration date
01/10/2007
Last updated
12/26/2014
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