| Access Recovery Mental Health Services | |
|
2727 W Cleveland Ave Suite 204 Milwaukee WI 53215-2956 | |
| (612) 250-9590 | |
| Not Available |
| Full Name | Access Recovery Mental Health Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2727 W Cleveland Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Mohamed Yarow (CEO) |
| Authorized Official Contact | 4142698356 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Access Recovery Mental Health Services 2727 W Cleveland Ave Suite 204 Milwaukee WI 53215 Ph: (414) 269-8356 | Access Recovery Mental Health Services 2727 W Cleveland Ave Suite 204 Milwaukee WI 53215-2956 Ph: (612) 250-9590 |
| NPI Number | 1154786697 |
|---|---|
| Provider Enumeration Date | 12/29/2015 |
| Last Update Date | 07/19/2019 |
| Medicare PECOS PAC ID | 5496039711 |
|---|---|
| Medicare Enrollment ID | O20170306002541 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154786697 | NPI | - | NPPES |
| 100054712 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Edward G Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700062155 PECOS PAC ID: 8921179979 Enrollment ID: I20080618000448 |
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