| Human Development Center | |
|
6833 W Fond Du Lac Ave 3rd Floor Milwaukee WI 53218-3900 | |
| (414) 449-9908 | |
| Not Available |
| Full Name | Human Development Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 6833 W Fond Du Lac Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Chuck Holloway (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4144499908 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Human Development Center Po Box 274 Milwaukee WI 53201-0274 Ph: (414) 449-9908 | Human Development Center 6833 W Fond Du Lac Ave 3rd Floor Milwaukee WI 53218-3900 Ph: (414) 449-9908 |
| NPI Number | 1710306949 |
|---|---|
| Provider Enumeration Date | 04/15/2014 |
| Last Update Date | 04/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710306949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2634 (Wisconsin) | Primary |
| 101YM0800X | Counselor - Mental Health | 2634 (Wisconsin) | Secondary |
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