Family Achievement Clinic S C
NPI #1790958106 in Oconomowoc, Wisconsin
Provider Information
- NPI Number
- 1790958106
- Entity Type
- Organization
- Organization Name
- Family Achievement Clinic S C
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Apr 7, 2008
- Last Updated
- Apr 7, 2008
Practice Location
- Address
- 24 S MAIN ST
- City
- Oconomowoc
- State
- Wisconsin
- ZIP Code
- 53066-5226
- Phone
- (262) 567-4560
Authorized Official
- Name
- MR. MICHAEL M CORNALE, MS
- Title
- DIRECTOR
- Phone
- (262) 567-4560
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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