Organization
HOPES CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBERAH KAY PETERSON LCSW (DIRECTOR OF CLINICAL SERVICES)
(414) 510-6084
Entity
Organization
Contact information
Practice address
521 6TH ST, RACINE, WI 53403-1117
(262) 898-2940
(262) 898-1772
Mailing address
1140 S 119TH ST, WEST ALLIS, WI 53214-2135
(414) 510-6084
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4100-123
WI
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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