Catholic Charities Of The Archdiocese Of Milwaukee Inc | |
2021 N 60th St Milwaukee WI 53208-1641 | |
(414) 771-2881 | |
(414) 771-6095 |
Full Name | Catholic Charities Of The Archdiocese Of Milwaukee Inc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 2021 N 60th St, Milwaukee, Wisconsin |
Authorized Official Name and Position | Gary D Howley (DIRECTOR OF OPERATIONS) |
Authorized Official Contact | 4147693416 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Catholic Charities Of The Archdiocese Of Milwaukee Inc 2021 N 60th St Milwaukee WI 53208-1641 Ph: (414) 771-2881 | Catholic Charities Of The Archdiocese Of Milwaukee Inc 2021 N 60th St Milwaukee WI 53208-1641 Ph: (414) 771-2881 |
NPI Number | 1376528448 |
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Provider Enumeration Date | 12/13/2005 |
Last Update Date | 05/10/2021 |
Certification Date | 05/10/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376528448 | NPI | - | NPPES |
44016500 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 1132 (Wisconsin) | Primary |
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