Organization
ST CHARLES YOUTH & FAMILY SERVICES INC
Active
Other names
Family Development Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHERINE CONNOLLY (PRESIDENT)
(414) 476-3710
Entity
Organization
Contact information
Practice address
4757 N 76TH ST, MILWAUKEE, WI 53218-4732
(414) 476-3710
Mailing address
4757 N 76TH ST, MILWAUKEE, WI 53218-4732
(414) 476-3710
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1322
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42178600
—
WI
Enumeration date
04/28/2008
Last updated
04/28/2008
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