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New Vintage Church, Inc.
Adolescent and Children Mental Health Clinic/Center in West Allis, Wisconsin
NPI 1730898362

New Vintage Church, Inc. is an Adolescent and Children Mental Health Clinic/Center based in West Allis, WI and is specialized in Adolescent and Children Mental Health. New Vintage Church, Inc. practices in West Allis, WI. The NPI Number for New Vintage Church, Inc. is 1730898362 and holds a License No. (Wisconsin).

The current practice location address for New Vintage Church, Inc. is 6626 W Beloit Rd, West Allis, WI and can be reached out via phone at 414-400-8320.

Location: 6626 W Beloit Rd, West Allis, WI, 53219-2009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730898362
Provider Name
New Vintage Church, Inc.
Credential
Provider Entity Type
Organization
Address
6626 W Beloit Rd, West Allis, WI, 53219-2009
Phone Number
414-400-8320
Fax Number
Provider Enumeration Date
11/22/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
6626 W Beloit Rd
City
West Allis
State
Wisconsin
Zip
53219-2009
Phone Number
414-400-8320
Fax Number
person
Provider Business Mailing Address Details
Address
6626 W Beloit Rd
City
West Allis
State
Wisconsin
Zip
53219-2009
Phone Number
414-400-8320
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
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 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
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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