New Vintage Church, Inc.
NPI #1730898362 in West Allis, Wisconsin
Provider Information
- NPI Number
- 1730898362
- Entity Type
- Organization
- Organization Name
- New Vintage Church, Inc.
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Nov 22, 2022
- Last Updated
- Nov 22, 2022
Practice Location
- Address
- 6626 W BELOIT RD
- City
- West Allis
- State
- Wisconsin
- ZIP Code
- 53219-2009
- Phone
- (414) 400-8320
Authorized Official
- Name
- KEVIN PAUL BARTELME
- Title
- SENIOR PASTOR/COUNSELOR
- Phone
- (414) 400-8320
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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