Organization
GIBWATER ENTERPRISES LLC
Active
Other names
Nora Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
ROSS FRESHWATER (AUTHORIZED OFFICIAL)
(414) 931-0000
Entity
Organization
Contact information
Practice address
2009 N 56TH ST # WI53208, MILWAUKEE, WI 53208-1609
(414) 931-0000
Mailing address
2009 N 56TH ST # WI53208, MILWAUKEE, WI 53208-1609
(414) 931-1372
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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