Organization
MINDFUL PEACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE SIMMONS SUBSTANCE ABUSE COUN (OWNER)
(262) 744-6638
Entity
Organization
Contact information
Practice address
1935 N 49TH ST, MILWAUKEE, WI 53208-1735
(414) 212-5723
Mailing address
1935 N 49TH ST, MILWAUKEE, WI 53208-1735
(262) 744-6638
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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