| Fresh Start Counseling Center, Inc | |
|
7101 W Capitol Dr Milwaukee WI 53216-2051 | |
| (414) 431-0821 | |
| (414) 431-0831 |
| Full Name | Fresh Start Counseling Center, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7101 W Capitol Dr, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Jermaine L Reed (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4144310821 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresh Start Counseling Center, Inc 7101 W Capitol Dr Milwaukee WI 53216-2051 Ph: (414) 431-0821 | Fresh Start Counseling Center, Inc 7101 W Capitol Dr Milwaukee WI 53216-2051 Ph: (414) 431-0821 |
| NPI Number | 1851537054 |
|---|---|
| Provider Enumeration Date | 12/18/2008 |
| Last Update Date | 12/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851537054 | NPI | - | NPPES |
| 42231500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2432 (Wisconsin) | Primary |
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