Organization
MYC HOLDINGS LLC
Active
Other names
Holistic Mental Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MITCHELL COHEN PCTL, SACIT (CLINIC DIRECTOR)
(414) 847-6253
Entity
Organization
Contact information
Practice address
500 W SILVER SPRING DR, SUITE 200, GLENDALE, WI 53217-5051
(414) 847-6253
(414) 501-2361
Mailing address
500 W SILVER SPRING DR, SUITE 200, GLENDALE, WI 53217-5051
(414) 847-6253
(414) 501-2361
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/07/2014
Last updated
06/24/2014
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