Organization
PENFIELD CHILDREN'S CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. POLINA MAKIEVSKY (PRESIDENT & CEO)
(414) 345-6300
Entity
Organization
Contact information
Practice address
833 N 26TH ST, MILWAUKEE, WI 53233-1507
(414) 344-7676
(414) 344-7739
Mailing address
833 N 26TH ST, MILWAUKEE, WI 53233-1507
(414) 344-7676
(414) 344-7739
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
WI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41808500
—
WI
Enumeration date
12/06/2006
Last updated
04/24/2025
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