Organization
SUPPORTIVE COMMUNITY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN LANGENWALTER (EXECUTIVE DIRECTOR)
(414) 475-2666
Entity
Organization
Contact information
Practice address
1126 S 70TH ST STE S106, WEST ALLIS, WI 53214-3159
(414) 475-2666
(414) 475-2670
Mailing address
1126 S 70TH ST STE S106, WEST ALLIS, WI 53214-3159
(414) 475-2666
(414) 475-2670
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
2192-800
WI
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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