Organization · Type 2 NPI
West Grove Clinic, SC
Mental Health Clinic/Center (Including Community Mental Health Center) · Wauwatosa, WI
NPI number
1518167477
Active
Practice location
10012 W. Capitol Dr. #101
Wauwatosa, WI 53222-1300
Fax (414) 810-4845
Mailing address
10012 W. Capitol Dr #101
Wauwatosa, WI 53222-1300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center | 261Q00000X | 2318 (WI) |
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1518167477
West Grove Clinic, SC's National Provider Identifier is 1518167477, issued on Jul 19, 2007. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Wauwatosa, WI. The record was last updated on Nov 12, 2024.