Organization
MI FAMILIA COUNSELING CENTER INC
Active
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
Update your record
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