Organization
GRATEFUL GIRLS
Active
Other names
Grateful Mommies & Healthy Babies
Organization subpart
No
Provider details
NPI number
Authorized official
CHANDTA COOPER (EXECUTIVE DIRECTOR)
(630) 728-2297
Entity
Organization
Contact information
Practice address
4248 N 76TH ST, MILWAUKEE, WI 53222-2042
(630) 728-2297
Mailing address
4248 N. 76TH SUITE 1N, MILWAUKEE, WI 53222
(630) 728-2297
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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