Organization
ADULT CHILD & FAMILY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY HELEN LILLICH PHD (OWNER)
(262) 375-8441
Entity
Organization
Contact information
Practice address
101 FALLS RD, #404, GRAFTON, WI 53204-2612
(262) 375-8441
(262) 546-0005
Mailing address
101 FALLS RD, #404, GRAFTON, WI 53204-2612
(262) 375-8441
(262) 546-0005
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/15/2007
Last updated
01/30/2008
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