NPI 1568884732

Myc Holdings LLC

Organisation Community/Behavioral Health Agency Glendale, WI

Practice location

Address: 500 W Silver Spring Dr Suite 200, Glendale, WI 53217-5051
Phone: (414) 847-6253
Fax: (414) 501-2361

Authorised official

Name: Mitchell Cohen
Title: Clinic Director
Phone: (414) 847-6253

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Wisconsin →

Registry record

NPI: 1568884732
Entity type: Organization
NPI issued: 7 Jan 2014
Record last updated: 24 Jun 2014

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.