Organization
MANY ROADS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH GRECO JR. MA, LPC, CSAC (PSYCHOTHERAPIST/OWNER)
(414) 975-8106
Entity
Organization
Contact information
Practice address
2510 E CAPITOL DR, SHOREWOOD, WI 53211-2136
(414) 975-8106
Mailing address
4540 S HEARTHSIDE DR, NEW BERLIN, WI 53151-6578
(414) 975-8106
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15410-132
WI
101YP2500X
Professional Counselor
Primary
4100-125
WI
Other
Enumeration date
10/11/2016
Last updated
12/02/2016
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