| St. Charles Youth & Family Services, Inc. | |
|
151 S 84th St Milwaukee WI 53214-1456 | |
| (414) 476-3710 | |
| (414) 778-5956 |
| Full Name | St. Charles Youth & Family Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 151 S 84th St, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Catherine Connolly (PRESIDENT) |
| Authorized Official Contact | 4144763710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Charles Youth & Family Services, Inc. 151 S 84th St Milwaukee WI 53214-1456 Ph: (414) 476-3710 | St. Charles Youth & Family Services, Inc. 151 S 84th St Milwaukee WI 53214-1456 Ph: (414) 476-3710 |
| NPI Number | 1851565485 |
|---|---|
| Provider Enumeration Date | 04/15/2008 |
| Last Update Date | 08/30/2023 |
| Certification Date | 08/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851565485 | NPI | - | NPPES |
| 15371-131 | Other | WI | REGULATION & LICENSING |
| 39178900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 15371-131 (Wisconsin) | Primary |
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