Comprehensive Wellness, LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Wauwatosa, WI. Organization (NPI-2).
NPI number1407435100
StatusActive
Last updated in NPPESApr 7, 2021
Details
- NPI
- 1407435100
- Entity type
- Organization (NPI-2)
- Legal business name
- Comprehensive Wellness, LLC
- Organization subpart
- No
- Enumeration date
- Apr 7, 2021
- Certification date
- Apr 7, 2021
- Last updated
- Apr 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
2609 N 62nd StWauwatosa, WI 53213-1541
Phone 414-375-9013
Mailing address
2609 N 62nd StWauwatosa, WI 53213-1541
Authorized official
Lauren Todd
Owner
4148414536
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