Organization
WE STILL HAVE HOPE IN OUR YOUTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHALONDA EZELL (OWNER)
(414) 202-8385
Entity
Organization
Contact information
Practice address
4129 N 20TH ST, MILWAUKEE, WI 53209-6812
(414) 507-0266
Mailing address
3805 W CENTER ST, MILWAUKEE, WI 53210-2555
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598153033
—
WI
Enumeration date
12/11/2017
Last updated
12/11/2017
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