# GREATER MILWAUKEE CENTER FOR HEALTH AND WELLNESS INC.

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

## Provider details

- **NPI number:** 1447644422
- **Authorized official:** ERICKA M SINCLAIR MS, MPH (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (414) 269-8282

## Contact information

- **Practice address:** 4655 N. PORT WASHINGTON ROAD, SUITE 325, GLENDALE, WI 53212-1000
- **Practice address phone:** (414) 269-8282
- **Practice address fax:** (414) 269-8280
- **Mailing address:** 4655 N PORT WASHINGTON ROAD, SUITE 325, GLENDALE, WI 53212-1000
- **Mailing address phone:** (414) 269-8282
- **Mailing address fax:** (414) 269-8280

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251K00000X | Public Health or Welfare Agency | — | NULL | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 261QF0050X | Non-Surgical Family Planning Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |

## Other

- **Enumeration date:** 03/27/2015
- **Last updated:** 09/02/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1447644422 | — | WI |