institution
Professional Services Group
Mental Health Clinic/Center (Including Community Mental Health Center) in Kenosha, Wisconsin
NPI 1861504813

Professional Services Group is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Kenosha, WI and is specialized in Mental Health (Including Community Mental Health Center). Professional Services Group practices in Kenosha, WI. The NPI Number for Professional Services Group is 1861504813 and holds a License No. (Wisconsin).

The current practice location address for Professional Services Group is 2108 63Rd St, Kenosha, WI and can be reached out via phone at 262-652-2406 and via fax at 262-652-2408. You can also correspond with Professional Services Group through the mailing address at 6233 39TH AVE, KENOSHA, WI - 53142-7015 (mailing address contact number: 262-654-1004).

Location: 2108 63Rd St, Kenosha, WI, 53142-7015
institution
Provider Profile Details
NPI Number
1861504813
Provider Name
Professional Services Group
Credential
Provider Entity Type
Organization
Address
2108 63Rd St, Kenosha, WI, 53142-7015
Phone Number
262-652-2406
Fax Number
262-652-2408
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42125700 05 WI
institution
Provider Business Practice Location Address Details
Address
2108 63Rd St
City
State
Zip
53143-4454
Phone Number
262-652-2406
Fax Number
262-652-2408
person
Provider Business Mailing Address Details
Address
2108 63Rd St
City
State
Zip
53143-4454
Phone Number
262-652-2406
Fax Number
262-652-2408
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
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Definition
Definition to come...
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