Organization · Type 2 NPI

New Vintage Church, Inc.

Adult Mental Health Clinic/Center · West Allis, WI

NPI number 1730898362 Active

Practice location

6626 W Beloit Rd
West Allis, WI 53219-2009

Specialties and licenses

TaxonomyCodeLicense
Adult Mental Health Clinic/Center Primary 261QM0850XNone listed
Adolescent and Children Mental Health Clinic/Center 261QM0855XNone listed

Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

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About NPI 1730898362

New Vintage Church, Inc.'s National Provider Identifier is 1730898362, issued on Nov 22, 2022. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in West Allis, WI. The record was last updated on Nov 22, 2022.