| 16th Street Community Health Center Inc. | |
|
1038 S 6th St Milwaukee WI 53204-1737 | |
| (414) 672-1353 | |
| Not Available |
| Full Name | 16th Street Community Health Center Inc. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1038 S 6th St, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Maria Cecilia S Taylor (CFO) |
| Authorized Official Contact | 4148975407 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 16th Street Community Health Center Inc. Po Box 778789 Chicago IL 60677-0001 Ph: (414) 672-1353 | 16th Street Community Health Center Inc. 1038 S 6th St Milwaukee WI 53204-1737 Ph: (414) 672-1353 |
| NPI Number | 1568104248 |
|---|---|
| Provider Enumeration Date | 04/12/2022 |
| Last Update Date | 04/12/2022 |
| Certification Date | 04/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568104248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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