Organization
CHILDREN'S SERVICE SOCIETY OF WISCONSIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY OERTER (INTERIM DIRECTOR OF COUNSELING)
(414) 266-2912
Entity
Organization
Contact information
Practice address
620 S 76TH ST, SUITE 120, MILWAUKEE, WI 53214-1599
(414) 453-1400
(414) 453-2538
Mailing address
620 S 76TH ST, SUITE 120, MILWAUKEE, WI 53214-1599
(414) 453-1400
(414) 453-2538
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42155200
—
WI
Enumeration date
08/14/2006
Last updated
12/05/2013
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