Organization
COMMUNITY SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANESE MCCLENDON (DIRECTOR)
(414) 839-4755
Entity
Organization
Contact information
Practice address
3813 N 52ND ST, MILWAUKEE, WI 53216-2307
(414) 839-4755
Mailing address
3813 N 52ND ST, MILWAUKEE, WI 53216-2307
(414) 839-4755
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/05/2011
Last updated
08/05/2011
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