Myc Holdings LLC

NPI #1568884732 in Glendale, Wisconsin

Provider Information

NPI Number
1568884732
Entity Type
Organization
Organization Name
Myc Holdings LLC
Primary Specialty
Community/Behavioral Health
Enumeration Date
Jan 7, 2014
Last Updated
Jun 24, 2014

Practice Location

Address
500 W SILVER SPRING DR
Address 2
SUITE 200
ZIP Code
53217-5051
Phone
(414) 847-6253

Authorized Official

Name
MR. MITCHELL COHEN, PCTL, SACIT
Title
CLINIC DIRECTOR
Phone
(414) 847-6253

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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