Organization
SAMAD'S HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RAQIBA MALIK (CHIEF EXECUTIVE OFFICER)
(414) 301-0020
Entity
Organization
Contact information
Practice address
2035 W WELLS ST, MILWAUKEE, WI 53233-1920
(414) 595-6501
Mailing address
2875 N 23RD ST, MILWAUKEE, WI 53206-1646
(414) 595-6501
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/05/2021
Last updated
03/26/2025
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