Organization
ENVISION ADHD, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB M BEHRENS M.D. (OWNER)
(414) 909-2343
Entity
Organization
Contact information
Practice address
1045 W GLEN OAKS LN STE 205, MEQUON, WI 53092-3467
(414) 909-2343
(888) 866-4665
Mailing address
1045 W GLEN OAKS LN STE 205, MEQUON, WI 53092-3467
(414) 909-2343
(888) 866-4665
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
55027-20
WI
Other
Enumeration date
02/15/2017
Last updated
10/14/2020
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