Organization · Type 2 NPI
Sacred Wandering / Sacred Path Practitioners
Mental Health Clinic/Center (Including Community Mental Health Center) · Mequon, WI
NPI number
1780240614
Active
Practice location
10134 N Port Washington Rd Ste G
Mequon, WI 53092-5700
Fax (414) 435-9611
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| 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 1780240614
Sacred Wandering / Sacred Path Practitioners's National Provider Identifier is 1780240614, issued on May 16, 2019. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Mequon, WI. The record was last updated on May 16, 2019.