Childynamics Llc

LBN: Childynamics Llc
Childynamics Llc is an health care organization with primary practice located at 11904 W North Ave Suite 110, Wauwatosa WI 53226-2062. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Childynamics Llc can be contacted via phone (414) 258-4318, or through Sardas, Isabela via phone (414) 258-4318.

Contact Information

Primary practice address
11904 W North Ave Suite 110 Wauwatosa WI 53226-2062
Phone: (414) 258-4318
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sardas, Isabela PHD
Phone: (414) 258-4318

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1235304692
LBN Legal business name Childynamics Llc
DBA Doing business as
Authorized official Sardas, Isabela PHD
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2008
Last updated Apr 28th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235304692 NPPES
Wisconsin MEDICAID 42216000

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