Organization
DRYHOOTCH OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK FLOWER (DIR.OF COMMUNITY PROGRAMS)
(414) 416-7651
Entity
Organization
Contact information
Practice address
1030 E BRADY ST, MILWAUKEE, WI 53202-1515
(414) 416-7651
Mailing address
1030 E BRADY ST, MILWAUKEE, WI 53202-1515
(414) 416-7651
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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