Organization
ASHA FAMILY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANTONIA A VANN (CEO)
(414) 875-1511
Entity
Organization
Contact information
Practice address
3719 W CENTER ST, MILWAUKEE, WI 53210-2553
(414) 875-1511
(414) 875-1217
Mailing address
3719 W CENTER ST, MILWAUKEE, WI 53210-2553
(414) 875-1511
(414) 875-1217
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
2239
WI
324500000X
Substance Abuse Rehabilitation Facility
Primary
2239
WI
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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