Organization
NORTH SHORES CENTER, LLC
Active
Parent organization
NORTH SHORES CENTER, LLC
Other names
Alpine Adult CRU
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH SHORES CENTER, LLC
Authorized official
JILL LEBOURDAIS PA-C (DIRECTOR OF CLINICAL SERVICEE)
(989) 493-1451
Entity
Organization
Contact information
Practice address
118 MCLOUTH RD, GAYLORD, MI 49735-9339
(989) 598-7435
Mailing address
4424 WINTERWOOD LN, SAGINAW, MI 48603-8673
(989) 493-1451
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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