Organization Name: | STEPPING STONE BEHAVORIAL HEALTH CLINIC, LLC |
NPI Number: | 1003150947 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBRA PIERSON (PRESIDENT) |
Mailing Address: | 7441 W Greenfield Ave Suite 15 Milwaukee |
State: | WI US |
Postal Code: | 532144676 |
Phone Number: | 2629516969 |
Fax Number: | |
NPI Enumeration Date: | 11/15/2012 |
NPI Last Update Date: | 11/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0801X |
License Number: | 3797-125 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
Taxonomy Definition: |