Organization
MI FAMILIA COUNSELING CENTER INC
Active
Other names
Mi Familia
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLAN M. REYES (PRESIDENT / DIRECTOR)
(414) 383-0755
Entity
Organization
Contact information
Practice address
2960 S 13TH ST, MILWAUKEE, WI 53215-3824
(414) 383-0755
(414) 383-0757
Mailing address
2960 S 13TH ST, MILWAUKEE, WI 53215-3824
(414) 383-0755
(414) 383-0757
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
2444
WI
343900000X
Non-emergency Medical Transport (VAN)
41479300
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42231600
—
WI
Enumeration date
05/05/2008
Last updated
05/06/2008
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