NPI 1003179953

Thundermist, INC.

Organisation Adolescent and Children Mental Health Clinic/Center Pewaukee, WI

Practice location

Address: 2108a Silvernail Rd Suite 116, Pewaukee, WI 53072-5526
Phone: (888) 468-9981

Authorised official

Name: Sean B Jones
Title: Ceo/President
Phone: (888) 898-4591

Registered specialties (2)

Adolescent and Children Mental Health Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM0855X

Other Clinic/Center providers in Wisconsin →

Adult Mental Health Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QM0850X

Registry record

NPI: 1003179953
Entity type: Organization
NPI issued: 15 Jun 2012
Record last updated: 15 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.