Organization Name: | SHOREHAVEN BEHAVIORAL HEALTH INC |
NPI Number: | 1598800740 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DON DAVID ROSENBERG (PRESIDENT) |
Mailing Address: | 8405 W Forest Home Av Suite 104 Milwaukee |
State: | WI US |
Postal Code: | 53228 |
Phone Number: | 4145402170 |
Fax Number: | 4145402171 |
NPI Enumeration Date: | 02/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |