Wi Cbt Center LLC

NPI #1164275004 in Glendale, Wisconsin

Provider Information

NPI Number
1164275004
Entity Type
Organization
Organization Name
Wi Cbt Center LLC
Primary Specialty
Social Worker - Clinical
Enumeration Date
Apr 10, 2024
Last Updated
May 7, 2024

Practice Location

Address
5215 N IRONWOOD RD
Address 2
SUITE 202 PMB 1013
ZIP Code
53217
Phone
(414) 367-4447

Authorized Official

Name
MR. EDWIN BACALSO, LCSW
Title
THERAPIST
Phone
(414) 367-4447

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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