Organization · Type 2 NPI
Tombolo, LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Brookfield, WI
NPI number
1407370398
Active
Practice location
12545 W. Burleigh Rd., Suite 10
Brookfield, WI 53005
Mailing address
12545 W Burleigh Rd Ste 10
Brookfield, WI 53005-3101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | 7050-123 (WI) |
| Adult Mental Health Clinic/Center | 261QM0850X | 7050-123 (WI) |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | 7050-123 (WI) |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1407370398
Tombolo, LLC's National Provider Identifier is 1407370398, issued on Aug 1, 2017. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Brookfield, WI. The record was last updated on Jul 21, 2022.