Organization
REFLECTIONS COMMUNITY SERVICE PROGRAM LLC
Active
Parent organization
MACHT VILLAGE PROGRAMS
Organization subpart
Yes
Provider details
NPI number
Legal business name
MACHT VILLAGE PROGRAMS
Authorized official
MR. DEVANTE BLANKS BA (FOUNDER/PRESIDENT)
(773) 851-7381
Entity
Organization
Contact information
Practice address
323 N MORRISON ST, APPLETON, WI 54911-5404
(920) 840-6247
Mailing address
3310 MID VALLEY DR, DE PERE, WI 54115-9495
(920) 469-9646
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/24/2022
Last updated
06/24/2022
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