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General NPI Number Information
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NPI Number | 1255283701
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Entity Type | Organization
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Legal Business Name | SOLACE GROVE BEHAVIORAL HEALTH INC
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Dates
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Enumeration Date | 02/09/2026
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 9235 W CAPITOL DR STE 200
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City | MILWAUKEE
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State | WI
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Zip | 53222-1567
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Country | US
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Telephone | 480-485-7262
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Fax |
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Provider Business Mailing Address
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Address Line | 9235 W CAPITOL DR STE 200
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City | MILWAUKEE
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State | WI
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Zip | 53222-1567
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Country | US
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Telephone | 480-485-7262
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | KEANA SPENCER
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Credential |
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Telephone | 480-485-7262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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