Organization
CHOSEN IMPACT YOUTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LILLIE JACKSON (OWNER)
(414) 807-3824
Entity
Organization
Contact information
Practice address
7321 W FLORIST AVE, MILWAUKEE, WI 53218-1849
(414) 807-3824
Mailing address
7321 W FLORIST AVE, MILWAUKEE, WI 53218-1849
(414) 807-3824
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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