Organization
GROWING TOGETHER FAMILY PNCC AGENCY
Active
Other names
Growing Together Family PNCC Agency
Organization subpart
No
Provider details
NPI number
Authorized official
KEASHA ODOM (OWNER)
(414) 419-8601
Entity
Organization
Contact information
Practice address
4701 W BRENTWOOD AVE, MILWAUKEE, WI 53223-6023
(414) 419-2525
Mailing address
4701 W BRENTWOOD AVE, MILWAUKEE, WI 53223-6023
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/09/2024
Last updated
07/16/2024
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