| Paradigm Enrichment Services, Inc | |
|
4222 W Capitol Dr Milwaukee WI 53216-2500 | |
| (414) 393-0295 | |
| (414) 393-1155 |
| Full Name | Paradigm Enrichment Services, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4222 W Capitol Dr, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Frederick George Jackson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4143930295 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paradigm Enrichment Services, Inc 6110 W Capitol Dr Milwaukee WI 53216-2120 Ph: (414) 393-0295 | Paradigm Enrichment Services, Inc 4222 W Capitol Dr Milwaukee WI 53216-2500 Ph: (414) 393-0295 |
| NPI Number | 1326489154 |
|---|---|
| Provider Enumeration Date | 07/09/2013 |
| Last Update Date | 01/09/2020 |
| Certification Date | 01/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326489154 | NPI | - | NPPES |
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