| Catholic Charities Of The Archdiocese Of Milwaukee Inc | |
|
7635 W Oklahoma Ave #104 Milwaukee WI 53219-3600 | |
| (414) 541-3624 | |
| (414) 541-3624 |
| Full Name | Catholic Charities Of The Archdiocese Of Milwaukee Inc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 7635 W Oklahoma Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Gary D Howley (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 4147693616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catholic Charities Of The Archdiocese Of Milwaukee Inc 7635 W Oklahoma Ave #104 Milwaukee WI 53219-3600 Ph: (414) 541-3624 | Catholic Charities Of The Archdiocese Of Milwaukee Inc 7635 W Oklahoma Ave #104 Milwaukee WI 53219-3600 Ph: (414) 541-3624 |
| NPI Number | 1235112020 |
|---|---|
| Provider Enumeration Date | 11/25/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235112020 | NPI | - | NPPES |
| 42162300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 2400 (Wisconsin) | Primary |
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