GLEN HAVEN COUNSELING CLINIC NPI 1285844480

NPI Details

GLEN HAVEN COUNSELING CLINIC is a community behavioral health in Glendale, WI. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. GLEN HAVEN COUNSELING CLINIC NPI is 1285844480. The provider is registered as an organization entity type.

The provider's business location address is:

6270 N PORT WASHINGTON RD
SUITE 201
GLENDALE, WI
ZIP 53217-311
Phone: (414) 962-2284

The provider's authorized official is Jerrold Bernard Rousseau .
The authorized official title is Owner and has the following contact phone number (414) 962-2284.

The enumeration date for this NPI number is 5/23/2007 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: