Organization
MENTAL HEALTH AMERICA OF WISCONSIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTINA C GOLLIN (PRESIDENT/CEO)
(414) 336-7963
Entity
Organization
Contact information
Practice address
600 W VIRGINIA ST, SUITE 502, MILWAUKEE, WI 53204-1500
(414) 336-7963
(414) 276-3124
Mailing address
600 W VIRGINIA ST, SUITE 502, MILWAUKEE, WI 53204-1500
(414) 336-7963
(414) 276-3124
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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