Organization
BABY NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATOYIA GIBSON (OWNER / OPERATOR)
(414) 467-9927
Entity
Organization
Contact information
Practice address
3878 N 24TH PL, MILWAUKEE, WI 53206-1419
(414) 467-9927
Mailing address
3878 N 24TH PL, MILWAUKEE, WI 53206-1419
(414) 467-9927
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/14/2017
Last updated
11/14/2017
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