Clara Healing Institute LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Wauwatosa, WI. Organization (NPI-2).
NPI number1518569797
StatusActive
Last updated in NPPESNov 12, 2020
Details
- NPI
- 1518569797
- Entity type
- Organization (NPI-2)
- Legal business name
- Clara Healing Institute LLC
- Organization subpart
- No
- Enumeration date
- Nov 12, 2020
- Certification date
- Nov 12, 2020
- Last updated
- Nov 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
7954 Harwood Ave Ste 40Wauwatosa, WI 53213-2526
Phone 414-573-6891
Mailing address
3822 N 101st StWauwatosa, WI 53222-2311
Authorized official
Cleo Honeysucker
Office Manager
4147601961
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