Organization
METTA BHAVANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVIN COOGAN LCSW (OWNER)
(505) 231-6658
Entity
Organization
Contact information
Practice address
330 W LAKESIDE ST, MADISON, WI 53715-2072
(608) 561-7533
Mailing address
330 W LAKESIDE ST, MADISON, WI 53715-2072
(608) 561-7533
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
06/10/2023
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