| Reuben Harris Instituet For Famile Enrichment | |
|
2821 N 4th St Suite 224 Milwaukee WI 53212-2362 | |
| (414) 265-5538 | |
| (414) 265-4533 |
| Full Name | Reuben Harris Instituet For Famile Enrichment |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2821 N 4th St, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Wendell J. Harris (OWNER) |
| Authorized Official Contact | 4142655538 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reuben Harris Instituet For Famile Enrichment 2821 N 4th St Suite 224 Milwaukee WI 53212-2362 Ph: (414) 265-5538 | Reuben Harris Instituet For Famile Enrichment 2821 N 4th St Suite 224 Milwaukee WI 53212-2362 Ph: (414) 265-5538 |
| NPI Number | 1386847168 |
|---|---|
| Provider Enumeration Date | 06/07/2007 |
| Last Update Date | 09/28/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386847168 | NPI | - | NPPES |
| 42247021 | Medicaid | WI | |
| 42247000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2681 (Wisconsin) | Primary |
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