Organization
REHEMA MENTAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REUEL KAGAMBA MUIRURI (MANAGER)
(833) 711-1970
Entity
Organization
Contact information
Practice address
1225 12TH AVE, GRAFTON, WI 53024-1923
(833) 711-1970
Mailing address
1225 12TH AVE, GRAFTON, WI 53024-1923
(833) 711-1970
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
363A00000X
Physician Assistant
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/07/2024
Last updated
01/28/2026
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