Individual provider · Type 1 NPI
Edward Mitchell
Community/Behavioral Health Agency · Racine, WI
Practice location
2405 Northwestern Ave # LL15
Racine, WI 53404-2534
Fax (262) 260-8358
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency Primary | 251S00000X | 15732-131 (WI) |
Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…
Another provider at this address
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About NPI 1164834453
Edward Mitchell's National Provider Identifier is 1164834453, issued on May 21, 2014. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Racine, WI. The record was last updated on May 21, 2014.