Organization
DIFFERENT HORIZONS BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATIKA NICOLE WASHINGTON CSAC, LPC-IT, ICS (EXERCUTIVE DIRECTOR)
(414) 394-5517
Entity
Organization
Contact information
Practice address
1337 N 30TH ST, MILWAUKEE, WI 53208-2420
(414) 394-5517
Mailing address
1337 N 30TH ST, MILWAUKEE, WI 53208-2420
(414) 394-5517
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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