Family Achievement Clinic S C

NPI 1790958106 - Counselor - 101YM0800X

NPI Details
NPI 1790958106
Enumeration Date 04/07/2008
Last Updated 04/07/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name MICHAEL M MICHAEL
Position DIRECTOR
Phone (262) 567-4560
Fax (262) 567-4870
Practice Location
24 S MAIN ST
OCONOMOWOC WI, 53066-5226, US
Phone (262) 567-4560
Fax (262) 567-4870
Business Location
24 S MAIN ST
OCONOMOWOC WI, 53066-5226, US
Phone (262) 567-4560
Fax (262) 567-4870
Toxanomy
Taxonomy Code 101YM0800X
License State Wisconsin
License Number 1313
Remove 1790958106 NPI Number
 

According to our database, Family Achievement Clinic S C NPI is 1790958106, taxonomy code is 101YM0800X and license number is 1313, license state is located at Wisconsin. Family Achievement Clinic S C physically located at 24 S Main St, Oconomowoc WI, 53066-5226. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1790958106 NPI number is provided on an as is basis without warranty of any kind. 1790958106 is maintained by the National Plan & Provider Enumeration System. The contents of Family Achievement Clinic S C are for informational purposes only.