NPI 1235304056

Norris Adolescent Center

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Mukwonago, WI

Practice location

Address: W247s10395 Center Dr, Mukwonago, WI 53149-9166
Phone: (262) 662-5900
Fax: (262) 662-5688

Authorised official

Name: Donald Stewart Harris
Title: Executive Director
Phone: (262) 662-5900

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 265004 (WI)

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Registry record

NPI: 1235304056
Entity type: Organization
NPI issued: 23 Apr 2008
Record last updated: 23 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.