Organization · Type 2 NPI

In the Moment Child and Family Therapy, LLC

Community/Behavioral Health Agency · Verona, WI

NPI number 1376913129 Active

Practice location

6705 Wesner Rd
Verona, WI 53593-9178

Mailing address

653 Garfield Ave
Evansville, WI 53536-1067

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X478-228 (WI)
Community/Behavioral Health Agency 251S00000X2694-226 (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…

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About NPI 1376913129

In the Moment Child and Family Therapy, LLC's National Provider Identifier is 1376913129, issued on Oct 5, 2015. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Verona, WI. The record was last updated on Oct 5, 2015.