Organization
MATTERS OF THE SPIRIT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA SANFORD (DIRECTOR)
(262) 432-0670
Entity
Organization
Contact information
Practice address
12645 W BURLEIGH RD STE 19, BROOKFIELD, WI 53005-3102
(262) 432-0670
(262) 475-0412
Mailing address
12645 W BURLEIGH RD STE 19, BROOKFIELD, WI 53005-3102
(262) 432-0670
(262) 475-0412
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
02/11/2015
Last updated
09/12/2023
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