Organization · Type 2 NPI
K. Kwang Soo, M.d., S.c.
Adult Mental Health Clinic/Center · Milwaukee, WI
NPI number
1336296722
Active
Practice location
2691 N Lake Dr
Milwaukee, WI 53211-3838
Fax (414) 228-6303
Mailing address
PO Box 170526
Milwaukee, WI 53217-8046
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | 19331 (WI) |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Another provider at this address
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- Making Strides Behavioral Health ServicesAdult Mental Health Clinic/Center Milwaukee, WI NPI 1164005864
- Catholic Charities of the Archdiocese of Milwaukee IncAdult Mental Health Clinic/Center Milwaukee, WI NPI 1235112020
- From Your Home 2 My Heart Sanctuary IncAdult Mental Health Clinic/Center Milwaukee, WI NPI 1285382952
- Innova Recovery, PLLCAdult Mental Health Clinic/Center Milwaukee, WI NPI 1295461580
- Dawn Johanneck Therapy Services LLCAdult Mental Health Clinic/Center Milwaukee, WI NPI 1326951286
- Spoon & Stone Counseling, LLCAdult Mental Health Clinic/Center Milwaukee, WI NPI 1417532912
- Saqh,incAdult Mental Health Clinic/Center Milwaukee, WI NPI 1497114912
About NPI 1336296722
K. Kwang Soo, M.d., S.c.'s National Provider Identifier is 1336296722, issued on Jan 5, 2007. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Milwaukee, WI. The record was last updated on Aug 22, 2020.