Organization
COUNTY OF MILWAUKEE
Active
Other names
Milwaukee COunty Behavioral Health / Adult Crisis Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN CHIANELLI (ADMISINTRATOR)
(414) 257-5202
Entity
Organization
Contact information
Practice address
9201 W WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3558
(414) 257-5202
Mailing address
9201 W WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3558
(414) 257-5202
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32975400
—
WI
01
—
32975470
MEDICAID PERFORMING PROVIDER NUMBER
WI
Enumeration date
05/27/2008
Last updated
05/27/2008
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