| Valentin Clinic Sc | |
|
1220 Dewey Avenue Wauwatosa WI 53213-2504 | |
| (414) 454-6514 | |
| (414) 454-6751 |
| Full Name | Valentin Clinic Sc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1220 Dewey Avenue, Wauwatosa, Wisconsin |
| Authorized Official Name and Position | Cynthia Valentin (PRESIDENT) |
| Authorized Official Contact | 4144546514 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valentin Clinic Sc 1220 Dewey Avenue Wauwatosa WI 53213-2504 Ph: (414) 454-6514 | Valentin Clinic Sc 1220 Dewey Avenue Wauwatosa WI 53213-2504 Ph: (414) 454-6514 |
| NPI Number | 1174684872 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174684872 | NPI | - | NPPES |
| 42178700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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