| Center For Integrative Psychiatric Care, Llc | |
|
Cipc Llc At Fresh Start 500 W Silver Spring Dr, Suite K320 Glendale WI 53209 | |
| (414) 232-8397 | |
| Not Available |
| Full Name | Center For Integrative Psychiatric Care, Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | Cipc Llc At Fresh Start, Glendale, Wisconsin |
| Authorized Official Name and Position | Hillary De'shaunn Wynn (PSYCHIATRIST) |
| Authorized Official Contact | 4142328397 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Integrative Psychiatric Care, Llc Cipc Llc At Fresh Start 500 W Silver Spring Dr, Suite K320 Glendale WI 53209 Ph: (414) 232-8397 | Center For Integrative Psychiatric Care, Llc Cipc Llc At Fresh Start 500 W Silver Spring Dr, Suite K320 Glendale WI 53209 Ph: (414) 232-8397 |
| NPI Number | 1366269987 |
|---|---|
| Provider Enumeration Date | 09/24/2024 |
| Last Update Date | 09/24/2024 |
| Certification Date | 09/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366269987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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