Inner Awakenings Diagnostic And Counseling Clinic | |
436 Oakton Ave Pewaukee WI 53072-3542 | |
(262) 691-2581 | |
(262) 691-2761 |
Full Name | Inner Awakenings Diagnostic And Counseling Clinic |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 436 Oakton Ave, Pewaukee, Wisconsin |
Authorized Official Name and Position | Melissa A Ford (OWNER) |
Authorized Official Contact | 2626912581 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Inner Awakenings Diagnostic And Counseling Clinic 436 Oakton Ave Pewaukee WI 53072-3542 Ph: (262) 691-2581 | Inner Awakenings Diagnostic And Counseling Clinic 436 Oakton Ave Pewaukee WI 53072-3542 Ph: (262) 691-2581 |
NPI Number | 1679788103 |
---|---|
Provider Enumeration Date | 05/10/2007 |
Last Update Date | 02/19/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679788103 | NPI | - | NPPES |
42226000 | Medicaid | WI |
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