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Organization

LIFELINK BEHAVIORAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MUSTAFA MOHAMED (DIRECTOR)
(414) 882-1555
Entity
Organization

Contact information

Practice address
200 S EXECUTIVE DR # 2061, BROOKFIELD, WI 53005-4216
(414) 800-9757
(414) 710-2556
Mailing address
200 S EXECUTIVE DR # 2061200S, BROOKFIELD, WI 53005-4216
(414) 800-9757
(414) 710-2556

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
251S00000X
Community/Behavioral Health Agency
Primary
310400000X
Assisted Living Facility
343900000X
Non-emergency Medical Transport (VAN)

Other

Enumeration date
10/22/2024
Last updated
12/01/2025
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