Organization
ANOINTED JOURNEY PNCC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAZMINE C PACKER (OWNER)
(414) 366-6947
Entity
Organization
Contact information
Practice address
3202 N 76TH ST APT 7, MILWAUKEE, WI 53222-3958
(414) 366-6947
Mailing address
3202 N 76TH ST APT 7, MILWAUKEE, WI 53222-3958
(414) 366-6947
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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