| Gray Matter Solutions Llc | |
|
3224 Kennsington Square Rd Sturtevant WI 53177-2821 | |
| (262) 206-0412 | |
| Not Available |
| Full Name | Gray Matter Solutions Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3224 Kennsington Square Rd, Sturtevant, Wisconsin |
| Authorized Official Name and Position | Jeremy L Kaup (PRESIDENT) |
| Authorized Official Contact | 2622060412 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gray Matter Solutions Llc 3224 Kennsington Square Rd Sturtevant WI 53177-2821 Ph: (262) 206-0412 | Gray Matter Solutions Llc 3224 Kennsington Square Rd Sturtevant WI 53177-2821 Ph: (262) 206-0412 |
| NPI Number | 1194549089 |
|---|---|
| Provider Enumeration Date | 11/08/2024 |
| Last Update Date | 11/08/2024 |
| Certification Date | 11/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194549089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Psychiatric Services Of Racine, Llp Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8700 Durand Ave Ste 600, Sturtevant, WI 53177 Phone: 262-635-5520 Fax: 262-635-5530 |