Organization
EXODUS FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEXANDER HARDY MSW (SOCIAL WORKER)
(414) 550-9646
Entity
Organization
Contact information
Practice address
3353 N MARTIN LUTHER KING DR, MILWAUKEE, WI 53212-1455
(414) 550-9646
Mailing address
2556 N SHERMAN BLVD, MILWAUKEE, WI 53210-2948
(414) 550-9646
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3084-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39581200
—
WI
Enumeration date
05/02/2008
Last updated
05/02/2008
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