# CENTER FOR INTEGRATIVE PSYCHIATRIC CARE, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366269987
- **Authorized official:** DR. HILLARY DE'SHAUNN WYNN MD (PSYCHIATRIST)
- **Authorized official phone:** (414) 232-8397

## Contact information

- **Practice address:** CIPC LLC AT FRESH START, 500 W SILVER SPRING DR, SUITE K320, GLENDALE, WI 53209
- **Practice address phone:** (414) 232-8397
- **Mailing address:** CIPC LLC AT FRESH START, 500 W SILVER SPRING DR, SUITE K320, GLENDALE, WI 53209
- **Mailing address phone:** (414) 232-8397

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | — | — | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 09/24/2024
- **Last updated:** 09/24/2024