| Sankofa Educational Leadership United Company | |
|
1026 W Main St Sun Prairie WI 53590-2040 | |
| (608) 618-9977 | |
| Not Available |
| Full Name | Sankofa Educational Leadership United Company |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1026 W Main St, Sun Prairie, Wisconsin |
| Authorized Official Name and Position | Jalateefa Joe-meyers (CEO) |
| Authorized Official Contact | 6086189977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sankofa Educational Leadership United Company 1026 W Main St Sun Prairie WI 53590-2040 Ph: (608) 618-9977 | Sankofa Educational Leadership United Company 1026 W Main St Sun Prairie WI 53590-2040 Ph: (608) 618-9977 |
| NPI Number | 1174240493 |
|---|---|
| Provider Enumeration Date | 10/26/2022 |
| Last Update Date | 10/26/2022 |
| Certification Date | 10/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174240493 | NPI | - | NPPES |
| 1-7986104916 | Other | WI | ERA |
| 18233968852 | Other | WI | CLAIMS |
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