Thundermist, Inc. | |
2108a Silvernail Rd Suite 116 Pewaukee WI 53072-5526 | |
(888) 468-9981 | |
Not Available |
Full Name | Thundermist, Inc. |
---|---|
Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 2108a Silvernail Rd, Pewaukee, Wisconsin |
Authorized Official Name and Position | Sean B Jones (CEO/PRESIDENT) |
Authorized Official Contact | 8888984591 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Thundermist, Inc. 2108a Silvernail Rd Suite 116 Pewaukee WI 53072-5526 Ph: (888) 468-9981 | Thundermist, Inc. 2108a Silvernail Rd Suite 116 Pewaukee WI 53072-5526 Ph: (888) 468-9981 |
NPI Number | 1003179953 |
---|---|
Provider Enumeration Date | 06/15/2012 |
Last Update Date | 06/15/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003179953 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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