Organization
SIXTEENTH STREET COMMUNITY HEALTH CENTERS INC
Active
Other names
Sixteenth Street Community Health centers Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TANYA M STAMPS (CHIEF FINANCIAL OFFICER)
(414) 897-5407
Entity
Organization
Contact information
Practice address
2906 S 20TH STREET, MILWAUKEE, WI 53215
(414) 672-3145
(414) 383-5597
Mailing address
1032 S 16TH ST, SUITE 219, MILWAUKEE, WI 53204
(414) 672-3145
(414) 383-5597
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42205500
—
WI
Enumeration date
05/23/2007
Last updated
01/08/2025
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