Organization
GRAY MATTER SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY L KAUP PMHNP, APNP, BC (PRESIDENT)
(262) 206-0412
Entity
Organization
Contact information
Practice address
3224 KENNSINGTON SQUARE RD, STURTEVANT, WI 53177-2821
(262) 206-0412
Mailing address
3224 KENNSINGTON SQUARE RD, STURTEVANT, WI 53177-2821
(262) 206-0412
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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