| Inner City Behavior Services, Llc | |
|
3020 W Vliet St Milwaukee WI 53208-2461 | |
| (414) 445-8721 | |
| (414) 455-3292 |
| Full Name | Inner City Behavior Services, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3020 W Vliet St, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Barbara Ann Tripp (CEO) |
| Authorized Official Contact | 4144458721 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner City Behavior Services, Llc 3897 N 40th St Milwaukee WI 53216-3063 Ph: (414) 445-8721 | Inner City Behavior Services, Llc 3020 W Vliet St Milwaukee WI 53208-2461 Ph: (414) 445-8721 |
| NPI Number | 1437566023 |
|---|---|
| Provider Enumeration Date | 07/16/2014 |
| Last Update Date | 08/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437566023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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