# ST. CHARLES YOUTH & FAMILY SERVICES

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

## Provider details

- **NPI number:** 1861636672
- **Authorized official:** MR. SCOTT ANTHONY CARPENTER (VICE PRESIDENT)
- **Authorized official phone:** (414) 476-3710

## Contact information

- **Practice address:** 301 TROY DR, COTTAGE A, MADISON, WI 53704-1521
- **Practice address phone:** (608) 663-5913
- **Practice address fax:** (608) 663-5915
- **Mailing address:** 151 S 84TH ST, MILWAUKEE, WI 53214-1456
- **Mailing address phone:** (414) 476-3710
- **Mailing address fax:** (414) 778-5985

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 04/23/2009
- **Last updated:** 04/23/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 43018000 | — | WI |