# CAREER YOUTH DEVELOPMENT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215195623
- **Authorized official:** STERLON WHITE III (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (414) 263-8352

## Contact information

- **Practice address:** 2601 N MARTIN LUTHER KING DR, MILWAUKEE, WI 53212-2711
- **Practice address phone:** (414) 263-8352
- **Mailing address:** 6400 INDUSTRIAL LOOP, GREENDALE, WI 53129-2452
- **Mailing address phone:** (414) 423-4100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | WI | Yes |

## Other

- **Enumeration date:** 06/02/2008
- **Last updated:** 06/02/2008
