Organization
THE SALVATION ARMY - WISCONSIN AND UPPER MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN J MERRITT (DIVISIONAL COMMANDER)
(414) 302-4300
Entity
Organization
Contact information
Practice address
1730 N 7TH STREET, MILWAUKEE, WI 53205
(414) 265-6360
(414) 265-8151
Mailing address
1730 N 7TH STREET, MILWAUKEE, WI 53205
(414) 265-6360
(414) 265-8151
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4340-125
WI
163W00000X
Registered Nurse
Primary
52683-30
WI
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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