Tcg Holdings 14, LLC

NPI #1891149928 in Port Washington, Wisconsin

Provider Information

NPI Number
1891149928
Entity Type
Organization
Organization Name
Tcg Holdings 14, LLC
Primary Specialty
Clinic/Center - Adult Mental Health
Enumeration Date
Apr 14, 2016
Last Updated
Apr 14, 2016

Practice Location

Address
127 N FRANKLIN ST STE 206
ZIP Code
53074-1948
Phone
(262) 290-4272

Authorized Official

Name
MR. CHARLES PFRANG
Title
ADMINISTRATOR
Phone
(262) 689-2523

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adult Mental HealthAdult Mental Health

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