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Organization
CHILD & ADOLESCENT PSYCHIATRY CONSULTING LLC
Active
Organization
CHILD & ADOLESCENT PSYCHIATRY CONSULTING LLC
Active
Other names
Empower Mental Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
GENESSA L ANTONIEWICZ (CLINICAL DIRECTOR)
(612) 327-7015
Entity
Organization
Contact information
Practice address
2001 S CENTRAL AVE STE A, MARSHFIELD, WI 54449-4973
(715) 384-2818
(715) 384-2724
Mailing address
2001 S CENTRAL AVE STE A, MARSHFIELD, WI 54449-4973
(715) 384-2818
(715) 384-2724
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/29/2012
Last updated
12/22/2020
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