| Family Development Center | |
|
4757 N 76th St Milwaukee WI 53218-4732 | |
| (414) 476-3710 | |
| Not Available |
| Full Name | Family Development Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4757 N 76th St, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Catherine Connolly (PRESIDENT) |
| Authorized Official Contact | 4144763710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Development Center 4757 N 76th St Milwaukee WI 53218-4732 Ph: (414) 476-3710 | Family Development Center 4757 N 76th St Milwaukee WI 53218-4732 Ph: (414) 476-3710 |
| NPI Number | 1033384391 |
|---|---|
| Provider Enumeration Date | 04/28/2008 |
| Last Update Date | 04/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033384391 | NPI | - | NPPES |
| 42178600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1322 (Wisconsin) | Primary |
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