| Life Changing Ministries Substance Abuse Services | |
|
1134 W North Ave 2nd Floor Milwaukee WI 53205 | |
| (414) 269-9660 | |
| (414) 755-0698 |
| Full Name | Life Changing Ministries Substance Abuse Services |
|---|---|
| Speciality | Clinic/center |
| Location | 1134 W North Ave 2nd Floor, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Karina Chelsky (PRACTICE MANAGER) |
| Authorized Official Contact | 4144678884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Changing Ministries Substance Abuse Services 1134 W North Ave 2nd Floor Milwaukee WI 53205-1333 Ph: (414) 269-9660 | Life Changing Ministries Substance Abuse Services 1134 W North Ave 2nd Floor Milwaukee WI 53205 Ph: (414) 269-9660 |
| NPI Number | 1679981328 |
|---|---|
| Provider Enumeration Date | 07/25/2014 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679981328 | NPI | - | NPPES |
| 52D2142323 | Other | WI | FDA CLIA |
| 100041767 | Medicaid | WI | |
| 100043806 | Medicaid | WI |
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