Organization · Type 2 NPI
Inner Awakenings Diagnostic and Counseling Clinic
Mental Health Clinic/Center (Including Community Mental Health Center) · Pewaukee, WI
NPI number
1679788103
Active
Practice location
436 Oakton Ave
Pewaukee, WI 53072-3542
Fax (262) 691-2761
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | HFS61.91 (WI) |
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | HFS61.91 (WI) |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
Other mental health clinic/center (including community mental health center) providers in Pewaukee
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About NPI 1679788103
Inner Awakenings Diagnostic and Counseling Clinic's National Provider Identifier is 1679788103, issued on May 10, 2007. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Pewaukee, WI. The record was last updated on Feb 19, 2010.