Organization
THE LEMONADE STAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA MCNEALY MSW (EXECUTIVE DIRECTOR)
(414) 763-1868
Entity
Organization
Contact information
Practice address
5507 W BURLEIGH ST, MILWAUKEE, WI 53210-1548
(414) 763-1868
(414) 763-5155
Mailing address
PO BOX 18422, MILWAUKEE, WI 53218-0422
(414) 763-1868
(414) 763-5155
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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