Organization
WORD OF HOPE MINISTRIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD E. SULLIVAN MD (MEDICAL DIRECTOR)
(414) 447-9890
Entity
Organization
Contact information
Practice address
6314 N 104TH ST, MILWAUKEE, WI 53225-1408
(414) 446-4581
Mailing address
6314 N 104TH ST, MILWAUKEE, WI 53225-1408
(414) 446-4581
(414) 277-8982
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10600132
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39387800
—
WI
Enumeration date
03/28/2013
Last updated
03/28/2013
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