Organization
FROM YOUR HOME 2 MY HEART SANCTUARY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNETTE SMITH (OWNER)
(414) 336-9747
Entity
Organization
Contact information
Practice address
2568 N 19TH ST, MILWAUKEE, WI 53206-2053
(414) 336-9747
Mailing address
1808 N 13TH ST, MILWAUKEE, WI 53205-1728
(414) 336-9747
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/12/2022
Last updated
03/31/2022
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