Organization
SUPERIOR MOTHERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATAWNA E LOWE (OWNER)
(414) 852-2077
Entity
Organization
Contact information
Practice address
N115W16895 EL CAMINO DR, GERMANTOWN, WI 53022-3231
(414) 852-2077
Mailing address
P.O. BOX 1, N115 W16895 EL CAMINO DRIVE, GERMANTOWN, WI 53022
(414) 852-2077
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
07/14/2010
Last updated
11/04/2013
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