Organization
GRO FAMILY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY RENARD OWENS (CEO)
(414) 234-1263
Entity
Organization
Contact information
Practice address
6400 W CAPITOL DR, SUITE 200, MILWAUKEE, WI 53216-2156
(414) 445-1400
(414) 395-4716
Mailing address
6400 W CAPITOL DR, SUITE 200, MILWAUKEE, WI 53216-2156
(414) 445-1400
(414) 395-4716
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
2803
WI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
2803
WI
324500000X
Substance Abuse Rehabilitation Facility
2803
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144475765
—
WI
Enumeration date
11/24/2008
Last updated
03/06/2015
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