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Organization

MOONLIT PATH BEHAVIORAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REBECCA L SOBANSKI (OWNER)
(414) 348-8392
Entity
Organization

Contact information

Practice address
234 W FLORIDA ST STE 315, MILWAUKEE, WI 53204-1659
(414) 348-8392
(414) 296-8934
Mailing address
2112 E BENNETT AVE, MILWAUKEE, WI 53207-2916
(414) 348-8392
(414) 296-8934

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
11/24/2020
Last updated
04/23/2026
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