Organization · Type 2 NPI
In the Moment Child and Family Therapy, LLC
Community/Behavioral Health Agency · Verona, WI
Practice location
6705 Wesner Rd
Verona, WI 53593-9178
Mailing address
653 Garfield Ave
Evansville, WI 53536-1067
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency Primary | 251S00000X | 478-228 (WI) |
| Community/Behavioral Health Agency | 251S00000X | 2694-226 (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.