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