Organization
ONE HAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA BROWN (DIRECTOR)
(414) 628-1079
Entity
Organization
Contact information
Practice address
4738 W LISBON AVE STE 1, MILWAUKEE, WI 53208-1127
(414) 628-1079
Mailing address
2553 N 96TH ST, WAUWATOSA, WI 53226-1756
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/10/2021
Last updated
04/10/2021
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