Organization
ST. CHARLES YOUTH & FAMILY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE CONNOLLY (PRESIDENT)
(414) 476-3170
Entity
Organization
Contact information
Practice address
4757 N 76TH ST, MILWAUKEE, WI 53218-4732
(414) 476-3710
(414) 358-5001
Mailing address
4757 N 76TH ST, MILWAUKEE, WI 53218-4732
(414) 476-3710
(414) 358-5001
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
43003200
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43003200
—
WI
Enumeration date
05/06/2008
Last updated
02/23/2012
Update your record
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