Organization
NEW LIFE BEHAVIORAL HEALTH LLC
Active
Other names
New Life BH LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN ANDERSON-CRONIN PMHNP-BC (PSYCHIATRIC / MENTAL HEALTH NP)
(414) 841-8811
Entity
Organization
Contact information
Practice address
300 E BROADWAY, BOX 1924, WAUKESHA, WI 53186-5057
(262) 278-0651
(262) 232-0866
Mailing address
300 E BROADWAY, PO BOX 1924, WAUKESHA, WI 53186-5057
(262) 278-0651
(262) 232-0866
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558650705
—
WI
Enumeration date
11/06/2015
Last updated
11/11/2015
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