Organization
IMPACT ALCOHOL & OTHER DRUG ABUSE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS E MARTIN II (CONTROLLER)
(414) 256-4812
Entity
Organization
Contact information
Practice address
6737 W WASHINGTON ST STE 2225, MILWAUKEE, WI 53214-5663
(414) 256-4808
(414) 771-4808
Mailing address
6737 W WASHINGTON ST STE 2225, MILWAUKEE, WI 53214-5663
(414) 256-4808
(414) 771-4808
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2746
WI
Other
Enumeration date
01/19/2015
Last updated
01/19/2015
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