| Wcmhcc | |
|
1322 W Towne Square Rd Mequon WI 53092-5046 | |
| (262) 242-3810 | |
| Not Available |
| Full Name | Wcmhcc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1322 W Towne Square Rd, Mequon, Wisconsin |
| Authorized Official Name and Position | Lawrence A Kane (OWNER) |
| Authorized Official Contact | 2622423810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wcmhcc 10532 N Port Washington Rd Ste 1b Mequon WI 53092-5563 Ph: (262) 242-3810 | Wcmhcc 1322 W Towne Square Rd Mequon WI 53092-5046 Ph: (262) 242-3810 |
| NPI Number | 1154629483 |
|---|---|
| Provider Enumeration Date | 03/10/2011 |
| Last Update Date | 02/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154629483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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