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Organization
NEW LIFE BEHAVIORAL HEALTH LLC
Active
Organization
NEW LIFE BEHAVIORAL HEALTH LLC
Active
Other names
New Life BH LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN ANDERSON-CRONIN PMHNP-BC (PSYCHIATRIC / MENTAL HEALTH NP)
(414) 841-8811
Entity
Organization
Contact information
Practice address
300 E BROADWAY, BOX 1924, WAUKESHA, WI 53186-5057
(262) 278-0651
(262) 232-0866
Mailing address
300 E BROADWAY, PO BOX 1924, WAUKESHA, WI 53186-5057
(262) 278-0651
(262) 232-0866
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558650705
—
WI
Enumeration date
11/06/2015
Last updated
11/11/2015
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