Organization
COMMUNITY INTEGRATION COORDINATORS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY DAVIS (DIRECTOR)
(414) 387-8333
Entity
Organization
Contact information
Practice address
4848 S 76TH ST STE 110, GREENFIELD, WI 53220-4361
(414) 387-8333
Mailing address
4848 S 76TH ST STE 110, GREENFIELD, WI 53220-4361
(414) 387-8333
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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