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Organization

NEWCAP, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHERYL DETRICK (CEP)
(920) 430-1350
Entity
Organization

Contact information

Practice address
NEWCAP, INC., 504 LAKELAND RD, SHAWANO, WI 54166
(715) 732-4171
Mailing address
1201 MAIN ST, OCONTO, WI 54153-1595
(920) 834-4621

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
261QF0050X
Non-Surgical Family Planning Clinic/Center
Primary
261QM0850X
Adult Mental Health Clinic/Center
363L00000X
Nurse Practitioner
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
05/18/2022
Last updated
05/18/2022
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