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Organization
CENTER FOR INTEGRATIVE PSYCHIATRIC CARE, LLC
Active
Organization
CENTER FOR INTEGRATIVE PSYCHIATRIC CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HILLARY DE'SHAUNN WYNN MD (PSYCHIATRIST)
(414) 232-8397
Entity
Organization
Contact information
Practice address
CIPC LLC AT FRESH START, 500 W SILVER SPRING DR, SUITE K320, GLENDALE, WI 53209
(414) 232-8397
Mailing address
CIPC LLC AT FRESH START, 500 W SILVER SPRING DR, SUITE K320, GLENDALE, WI 53209
(414) 232-8397
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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