Organization
SAVING OUR SURVIVORS S.O.S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOSHA DJAY JOI 18075-130 (SUBSTANCE ABUSE COUNSELOR INTRANNIG)
(262) 765-9294
Entity
Organization
Contact information
Practice address
2201 N CAMBRIDGE AVE, APT 401, MILWAUKEE, WI 53202-1047
(262) 765-9294
Mailing address
2201 N. CAMBRIDGE AVE, APT 401, MILWAUKEE, WI 53202
(262) 765-9294
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
18075130
WI
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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