| New Concept Self Development Center, Inc. | |
|
4828 W Fond Du Lac Ave Milwaukee WI 53216-2323 | |
| (414) 444-1952 | |
| (414) 444-2863 |
| Full Name | New Concept Self Development Center, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4828 W Fond Du Lac Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Vanessa Key (CEOPRESIDENT) |
| Authorized Official Contact | 4144441952 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Concept Self Development Center, Inc. 4828 W Fond Du Lac Ave Milwaukee WI 53216-2323 Ph: (414) 444-1952 | New Concept Self Development Center, Inc. 4828 W Fond Du Lac Ave Milwaukee WI 53216-2323 Ph: (414) 444-1952 |
| NPI Number | 1982829040 |
|---|---|
| Provider Enumeration Date | 04/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982829040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 42106000 (Wisconsin) | Primary |
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