Organization
FOKUS FAMILY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELZORA DARLENE COLLINS BS,CSAC-ICS (EXECUTIVE DIRECTOR)
(414) 264-4217
Entity
Organization
Contact information
Practice address
2821 N VEL R PHILLIPS AVE STE 123, MILWAUKEE, WI 53212-2370
(414) 264-4217
(414) 264-4218
Mailing address
2821 N VEL R PHILLIPS AVE STE 123, MILWAUKEE, WI 53212-2370
(414) 264-4217
(414) 264-4218
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
2473
WI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
291U00000X
Clinical Medical Laboratory
52D2043078
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42247800
—
WI
01
—
WI2479
MEDICARE PTAN
—
Enumeration date
10/08/2008
Last updated
06/21/2023
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