Organization
COALITION FOR COMMUNITY EMPOWERMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMETRIOUS HENDERSON (DIRECTOR)
(414) 377-1927
Entity
Organization
Contact information
Practice address
4706 W CAPITOL DR, MILWAUKEE, WI 53216-1535
(414) 377-1927
Mailing address
4706 W CAPITOL DR, MILWAUKEE, WI 53216-1535
(414) 377-1927
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
251300000X
Local Education Agency (LEA)
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457697096
—
WI
Enumeration date
01/01/2013
Last updated
01/02/2013
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