| Family Impact, Inc | |
|
829 S Green Bay Rd Ste 109 Mount Pleasant WI 53406-4058 | |
| (262) 880-5864 | |
| (262) 995-0655 |
| Full Name | Family Impact, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 829 S Green Bay Rd, Mount Pleasant, Wisconsin |
| Authorized Official Name and Position | Erricka Stark (CO-OWNER/DIRECTOR) |
| Authorized Official Contact | 2626355135 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Impact, Inc 6601 Washington Ave Racine WI 53406-4058 Ph: (262) 635-5135 | Family Impact, Inc 829 S Green Bay Rd Ste 109 Mount Pleasant WI 53406-4058 Ph: (262) 880-5864 |
| NPI Number | 1245514520 |
|---|---|
| Provider Enumeration Date | 10/04/2011 |
| Last Update Date | 02/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245514520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4425-125 (Wisconsin) | Primary |
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