Saving Our Sons Mentoring Movement Inc | |
790 N Milwaukee St Ste 353 Milwaukee WI 53202-4072 | |
(262) 345-7933 | |
Not Available |
Full Name | Saving Our Sons Mentoring Movement Inc |
---|---|
Speciality | Community/behavioral Health |
Location | 790 N Milwaukee St Ste 353, Milwaukee, Wisconsin |
Authorized Official Name and Position | Lance Jermaine Ambrose (CEO) |
Authorized Official Contact | 2626230572 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Saving Our Sons Mentoring Movement Inc 790 N Milwaukee St Ste 353 Milwaukee WI 53202-4072 Ph: (262) 345-7933 | Saving Our Sons Mentoring Movement Inc 790 N Milwaukee St Ste 353 Milwaukee WI 53202-4072 Ph: (262) 345-7933 |
NPI Number | 1275314379 |
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Provider Enumeration Date | 10/13/2023 |
Last Update Date | 10/13/2023 |
Certification Date | 10/13/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275314379 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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