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Tombolo, Llc
Adolescent and Children Mental Health Clinic/Center in Brookfield, Wisconsin
NPI 1407370398

Tombolo, Llc is an Adolescent and Children Mental Health Clinic/Center based in Brookfield, WI and is specialized in Adolescent and Children Mental Health. Tombolo, Llc practices in Brookfield, WI. The NPI Number for Tombolo, Llc is 1407370398 and holds a License No. 7050-123 (Wisconsin).

The current practice location address for Tombolo, Llc is 12545 W. Burleigh Rd., Brookfield, WI and can be reached out via phone at 414-708-5988.

Location: 12545 W. Burleigh Rd., Brookfield, WI, 53005-3101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407370398
Provider Name
Tombolo, Llc
Credential
Provider Entity Type
Organization
Address
12545 W. Burleigh Rd., Brookfield, WI, 53005-3101
Phone Number
414-708-5988
Fax Number
Provider Enumeration Date
08/01/2017
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
12545 W. Burleigh Rd.
City
Brookfield
State
Wisconsin
Zip
53005
Phone Number
414-708-5988
Fax Number
person
Provider Business Mailing Address Details
Address
12545 W. Burleigh Rd.
City
Brookfield
State
Wisconsin
Zip
53005
Phone Number
414-708-5988
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
7050-123 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
7050-123 (Wisconsin)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
7050-123 (Wisconsin)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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