Wisconsin Community Services, Inc. | |
3734 W. Wisconsin Avenue Milwaukee WI 53208-3153 | |
(414) 344-6111 | |
(414) 344-2191 |
Full Name | Wisconsin Community Services, Inc. |
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Speciality | Community/behavioral Health |
Location | 3734 W. Wisconsin Avenue, Milwaukee, Wisconsin |
Authorized Official Name and Position | Hollis Patzer (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 4142900400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wisconsin Community Services, Inc. 3732 W. Wisconsin Avenue Milwaukee WI 53208-3166 Ph: (414) 290-0400 | Wisconsin Community Services, Inc. 3734 W. Wisconsin Avenue Milwaukee WI 53208-3153 Ph: (414) 344-6111 |
NPI Number | 1578758413 |
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Provider Enumeration Date | 09/13/2007 |
Last Update Date | 06/11/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578758413 | NPI | - | NPPES |
43427500 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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