St. Rose Youth & Family Center, Inc | |
3801 N 88th St Milwaukee WI 53222-2706 | |
(414) 466-9450 | |
(414) 466-0730 |
Full Name | St. Rose Youth & Family Center, Inc |
---|---|
Speciality | Counselor - Mental Health |
Location | 3801 N 88th St, Milwaukee, Wisconsin |
Authorized Official Name and Position | James Maro (CEO/PRESIDENT) |
Authorized Official Contact | 4144669450 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
St. Rose Youth & Family Center, Inc 3801 N 88th St Milwaukee WI 53222-2706 Ph: (414) 466-9450 | St. Rose Youth & Family Center, Inc 3801 N 88th St Milwaukee WI 53222-2706 Ph: (414) 466-9450 |
NPI Number | 1740460708 |
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Provider Enumeration Date | 11/07/2007 |
Last Update Date | 11/07/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740460708 | NPI | - | NPPES |
42220200 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 1876 (Wisconsin) | Secondary |
101YM0800X | Counselor - Mental Health | 1876 (Wisconsin) | Primary |
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