Organization
MAHALA'S HOPE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTINE ADELLE MENDOZA (ADMINISTRATIVE ASSISTANT)
(920) 904-6445
Entity
Organization
Contact information
Practice address
N4590 US HIGHWAY 45, EDEN, WI 53019-1212
(920) 904-6445
Mailing address
N4590 US HIGHWAY 45, EDEN, WI 53019-1212
(920) 904-6445
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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