| NPI | 1245017201 |
|---|---|
| Doing Business As | KENOSHA MENTAL HEALTH WALK-IN CLINIC |
| Entity Type | Organization |
| Authorized Contact | SHEILA REUTEMAN Sr. Credentialing COO Rdinator 414-266-7615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2023-09-13 |