Raclaw LLC

NPI #1053976548 in Pewaukee, Wisconsin

Provider Information

NPI Number: 1053976548
Entity Type: Organization
Organization Name: Raclaw LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: May 9, 2019
Last Updated: May 9, 2019

Practice Location

Address: N27W23960 PAUL RD STE 5
City: Pewaukee
State: Wisconsin
ZIP Code: 53072-6327
Phone: (414) 367-8070

Authorized Official

Name: EMILY RACLAW, LPC
Title: OWNER/MEMBER
Phone: (414) 202-0489

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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