Organization
ELEVATE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY SIMON (EXECUTIVE DIRECTOR)
(262) 677-2216
Entity
Organization
Contact information
Practice address
1626 CLARENCE CT, WEST BEND, WI 53095-8533
(262) 677-2216
Mailing address
N169W21005 MEADOW LN, JACKSON, WI 53037-8622
(262) 677-2216
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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