Organization
MENTAL HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA TEGROTENHUIS (EXECUTIVE DIRECTOR)
(920) 459-8287
Entity
Organization
Contact information
Practice address
1117 CLARA AVE, SHEBOYGAN, WI 53081-5317
(920) 459-8287
Mailing address
1117 CLARA AVE, SHEBOYGAN, WI 53081-5317
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
410471
WI
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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