Organization
BLACK HEALTH COALITION OF WISCONSIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA MCMANUS PH.D., RN (PRESIDENT/CEO)
(414) 933-0064
Entity
Organization
Contact information
Practice address
3020 W VLIET ST, MILWAUKEE, WI 53208-2461
(414) 933-0064
(414) 933-0084
Mailing address
3020 W VLIET ST, MILWAUKEE, WI 53208-2461
(414) 933-0064
(414) 933-0084
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/19/2012
Last updated
09/04/2012
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