Organization
ABUNDANT GRACE ADULT & YOUTH SERVICES
Active
Other names
Abundant Grace Adult & Youth Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOCELYN WRIGHT HALL PHD (ABD) (EXECUTIVE DIRECTOR)
(414) 248-9271
Entity
Organization
Contact information
Practice address
8430 W CAPITOL DR, MILWAUKEE, WI 53222-1846
(414) 462-0750
Mailing address
8430 W CAPITOL DR, MILWAUKEE, WI 53222-1846
(414) 462-0750
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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