Organization
UNITEMKE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIA GRANT (EXECUTIVE DIRECTOR)
(414) 435-0506
Entity
Organization
Contact information
Practice address
2474 N 37TH ST, MILWAUKEE, WI 53210-3044
(414) 435-0506
Mailing address
2474 N 37TH ST, MILWAUKEE, WI 53210-3044
(414) 435-0506
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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