Organization
RECONNECTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. B. HAL DESSEL LCSW, CADC III (OWNER, CLINIC DIRECTOR)
(414) 221-9293
Entity
Organization
Contact information
Practice address
921 W GLENDALE AVE, GLENDALE, WI 53209-6513
(414) 221-9293
(414) 221-9532
Mailing address
921 W GLENDALE AVE, GLENDALE, WI 53209-6513
(414) 221-9293
(414) 221-9532
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1775
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42211500
—
WI
Enumeration date
02/07/2007
Last updated
06/23/2008
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