Impact Child and Family Therapies INC
NPI #1740520345 in Mount Pleasant, Wisconsin
Provider Information
- NPI Number
- 1740520345
- Entity Type
- Organization
- Organization Name
- Impact Child and Family Therapies INC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Feb 20, 2013
- Last Updated
- Feb 20, 2013
Practice Location
- Address
- 829 S GREEN BAY RD
- Address 2
- SUITE 108
- City
- Mount Pleasant
- State
- Wisconsin
- ZIP Code
- 53406-4058
- Phone
- (262) 497-6212
Authorized Official
- Name
- MR. WILLIAM PAUL STEWART, LCSW
- Title
- CO DIRECTOR AND EXECUTIVE OFFICER
- Phone
- (847) 275-9498
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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