| New C.h.o.i.c.e.s., Llc | |
|
3565 N. Martin Luther King Drive Milwaukee WI 53212-1549 | |
| (414) 444-8445 | |
| (414) 444-8432 |
| Full Name | New C.h.o.i.c.e.s., Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3565 N. Martin Luther King Drive, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Leola Mae Williams (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4144448445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New C.h.o.i.c.e.s., Llc 3565 N. Martin Luther King Drive Milwaukee WI 53212-1549 Ph: (414) 444-8445 | New C.h.o.i.c.e.s., Llc 3565 N. Martin Luther King Drive Milwaukee WI 53212-1549 Ph: (414) 444-8445 |
| NPI Number | 1811259690 |
|---|---|
| Provider Enumeration Date | 06/08/2012 |
| Last Update Date | 09/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811259690 | NPI | - | NPPES |
| 39175700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 10883-132 (Wisconsin) | Primary |
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