| Milwaukee County Behavioral Health Community Support Program | |
|
1220 W Vliet St Fl 3 Milwaukee WI 53205-2117 | |
| (414) 257-6995 | |
| Not Available |
| Full Name | Milwaukee County Behavioral Health Community Support Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1220 W Vliet St Fl 3, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Sheri Duquaine (PATIENT ACCOUNTS MANAGER) |
| Authorized Official Contact | 4143918172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Milwaukee County Behavioral Health Community Support Program 1220 W Vliet St Fl 3 Milwaukee WI 53205-2117 Ph: (414) 257-6995 | Milwaukee County Behavioral Health Community Support Program 1220 W Vliet St Fl 3 Milwaukee WI 53205-2117 Ph: (414) 257-6995 |
| NPI Number | 1497819510 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 04/13/2023 |
| Certification Date | 04/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497819510 | NPI | - | NPPES |
| 43420800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Wisconsin) | Primary |
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