Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
CITY TRANSFORMATION, LIMITED
Active
Organization
CITY TRANSFORMATION, LIMITED
Active
Other names
City Transformation Clinic North
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THERESA ANTHONY CLINICAL SUPERVISOR (EXECUTIVE DIRECTOR)
(414) 616-9744
Entity
Organization
Contact information
Practice address
6815 W CAPITOL DR STE 301, MILWAUKEE, WI 53216-2056
(414) 616-9744
(414) 616-9747
Mailing address
6815 W CAPITOL DR STE 301, MILWAUKEE, WI 53216-2056
(414) 616-9744
(414) 616-9747
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2918
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193400000X
—
WI
Enumeration date
09/30/2010
Last updated
09/30/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up