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Organization
SANKOFA EDUCATIONAL LEADERSHIP UNITED COMPANY
Active
Organization
SANKOFA EDUCATIONAL LEADERSHIP UNITED COMPANY
Active
Other names
SELU
Organization subpart
No
Provider details
NPI number
Authorized official
JALATEEFA JOE-MEYERS APSW, AODA (CEO)
(608) 618-9977
Entity
Organization
Contact information
Practice address
1026 W MAIN ST, SUN PRAIRIE, WI 53590-2040
(608) 618-9977
Mailing address
1026 W MAIN ST, SUN PRAIRIE, WI 53590-2040
(608) 618-9977
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-7986104916
ERA
WI
01
—
18233968852
CLAIMS
WI
Enumeration date
10/26/2022
Last updated
10/26/2022
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