ACACIA CLINIC INC. NPI 1417988973

NPI Information

ACACIA CLINIC, INC. is a mental health counselor in Milwaukee, WI. ACACIA CLINIC, INC. NPI is 1417988973. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

6040 W LISBON AVE
SUITE 102
MILWAUKEE, WI
ZIP 53210-116
Phone: (414) 871-9111
Fax: (414) 871-9121

The provider's authorized official is Deidra Lee Kozlowski .
The authorized official title is President and has the following contact phone number (414) 871-9111.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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