Organization
PATHWAY YOUTH & FAMIY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA RICHARDSON MS,SACIT (DIRECTOR)
(414) 324-4832
Entity
Organization
Contact information
Practice address
3879 N PORT WASHINGTON RD, MILWAUKEE, WI 53212-1180
(414) 324-4832
Mailing address
4358 N 20TH ST, MILWAUKEE, WI 53209-6839
(414) 324-4832
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
17485-130
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184947509
—
WI
Enumeration date
04/27/2016
Last updated
04/27/2016
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