Organization
PHYSIOLOGICAL HEALTH SANCTUARY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEXANDER YUNDT MS (LPC)
(414) 350-7286
Entity
Organization
Contact information
Practice address
500 W SILVER SPRING DR STE K200, GLENDALE, WI 53217-5052
(414) 207-4415
Mailing address
500 W SILVER SPRING DR STE K200, GLENDALE, WI 53217-5052
(414) 207-4415
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/13/2020
Last updated
03/28/2024
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