Organization
SIXTEENTH STREET COMMUNITY HEALTH CENTER, INC
Active
Parent organization
SIXTEENTH STREET COMMUNITY HEALTH CENTER, INC
Other names
Kagel Elementary
Organization subpart
Yes
Provider details
NPI number
Legal business name
SIXTEENTH STREET COMMUNITY HEALTH CENTER, INC
Authorized official
MARIA CECILIA S TAYLOR (CFO)
(414) 897-5407
Entity
Organization
Contact information
Practice address
1210 W MINERAL ST, MILWAUKEE, WI 53204-2192
(414) 672-1353
Mailing address
PO BOX 778789, CHICAGO, IL 60677-0001
(414) 672-1353
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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