Organization
16TH STREET COMMUNITY HEALTH CENTER INC.
Active
Parent organization
16TH STREET COMMUNITY HEALTH CENTER INC.
Other names
UCC: Acosta Middle School
Organization subpart
Yes
Provider details
NPI number
Legal business name
16TH STREET COMMUNITY HEALTH CENTER INC.
Authorized official
MARIA CECILIA S TAYLOR (CFO)
(414) 897-5407
Entity
Organization
Contact information
Practice address
1038 S 6TH ST, MILWAUKEE, WI 53204-1737
(414) 672-1353
Mailing address
PO BOX 778789, CHICAGO, IL 60677-0001
(414) 672-1353
(414) 672-0191
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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