| Kettle Moraine Behavioral Health | |
|
N158 Tamarack Rd Palmyra WI 53156-9789 | |
| (262) 745-0368 | |
| Not Available |
| Full Name | Kettle Moraine Behavioral Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | N158 Tamarack Rd, Palmyra, Wisconsin |
| Authorized Official Name and Position | Marcia Catlett (OWNER) |
| Authorized Official Contact | 2627450368 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kettle Moraine Behavioral Health Po Box 732 Lake Geneva WI 53147-0732 Ph: (262) 745-0368 | Kettle Moraine Behavioral Health N158 Tamarack Rd Palmyra WI 53156-9789 Ph: (262) 745-0368 |
| NPI Number | 1174986376 |
|---|---|
| Provider Enumeration Date | 04/04/2016 |
| Last Update Date | 04/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174986376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Childhood Autism Therapies Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: N1563 County Road H, Palmyra, WI 53156 Phone: 262-370-5527 Fax: 262-495-8689 |