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Organization

ACACIA MENTAL HEALTH CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ABE FREUND (OWNER)
(414) 871-9111
Entity
Organization

Contact information

Practice address
6040 W LISBON AVE, # 204, MILWAUKEE, WI 53210-2116
(414) 871-9111
(414) 871-9121
Mailing address
6040 W. LISBON AVE., # 204, MILWAUKEE, WI 53210
(414) 871-9111
(414) 871-9121

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1006
WI

Other

Enumeration date
03/06/2009
Last updated
03/06/2009
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