NPI | 1942735766 |
---|---|
Doing Business As | IRIS HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | PETER BRUNZELLE Executive Director 262-420-9088 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
207QA0401X Family Medicine, Addiction Medicine | |
261Q00000X Clinic/Center | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
291U00000X Clinical Medical Laboratory | |
Enumeration Date | 2017-04-30 |
Last Update Date | 2023-05-22 |