| Transformationservices | |
|
835 N 23rd St 212 Milwaukee WI 53233-3300 | |
| (414) 933-7083 | |
| Not Available |
| Full Name | Transformationservices |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 835 N 23rd St, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Ingrid Diann Hicks (CLINICLA DIRECTOR) |
| Authorized Official Contact | 4149337083 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformationservices 835 N 23rd St 212 Milwaukee WI 53233-3300 Ph: (414) 933-7083 | Transformationservices 835 N 23rd St 212 Milwaukee WI 53233-3300 Ph: (414) 933-7083 |
| NPI Number | 1518121037 |
|---|---|
| Provider Enumeration Date | 07/14/2008 |
| Last Update Date | 07/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518121037 | NPI | - | NPPES |
| 42252421 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 1198 (Wisconsin) | Primary |
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