| Therapeutic Pathways, S.c. | |
|
161 W Wisconsin Ave Ste 2c Pewaukee WI 53072-3467 | |
| (262) 925-0405 | |
| Not Available |
| Full Name | Therapeutic Pathways, S.c. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 161 W Wisconsin Ave Ste 2c, Pewaukee, Wisconsin |
| Authorized Official Name and Position | Gregg E Hintz (PRESIDENT THERAPEUTIC PATHWAYS, S.C) |
| Authorized Official Contact | 2629250425 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Pathways, S.c. Po Box 634 East Troy WI 53120-0634 Ph: (262) 925-0425 | Therapeutic Pathways, S.c. 161 W Wisconsin Ave Ste 2c Pewaukee WI 53072-3467 Ph: (262) 925-0405 |
| NPI Number | 1467602573 |
|---|---|
| Provider Enumeration Date | 09/25/2008 |
| Last Update Date | 09/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467602573 | NPI | - | NPPES |
| 39137900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2423-057 (Wisconsin) | Primary |
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