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OIG exclusion detail

ACACIA MENTAL HEALTH CLINIC, L

This page shows an imported LEIE row. Verify details against the official OIG source before acting.

Imported OIG rowOfficial OIG source
NPI
1851631543
Name
ACACIA MENTAL HEALTH CLINIC, L
Address
5228 W FOND DU LAC AVENUE, MILWAUKEE, WI, 53216
Specialty
MENTAL/BEHAVIORAL HE
Exclusion type
1128b7
Exclusion date
20190326
Reinstatement date
00000000
Waiver
00000000

Source snapshot

Imported: May 05, 2026

Rows: 83,001

Checksum: 3a10b8ee0e4691855f74ce65a5e733672474291f79ed1f7cef163328d945e9a7

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