Organization
ANGEL ADAMS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE KOHNKE MA (SR ADMINISTRATOR)
(414) 445-9797
Entity
Organization
Contact information
Practice address
6040 W LISBON AVE, SUITE B2, MILWAUKEE, WI 53210-2116
(414) 445-9797
(414) 445-7979
Mailing address
6040 W LISBON AVE, SUITE B2, MILWAUKEE, WI 53210-2116
(414) 445-9797
(414) 445-7979
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2703
WI
251V00000X
Voluntary or Charitable Agency
2703
WI
Other
Enumeration date
05/02/2008
Last updated
05/02/2008
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