Organization
PATHWAY YOUTH & FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA RICHARDSON LPCT,SAC (PROGRAM DIRECTOR)
(414) 324-4832
Entity
Organization
Contact information
Practice address
4358 N 20TH ST, 335 W. WRIGHT STREET, MILWAUKEE, WI 53209-6839
(414) 324-4832
Mailing address
4358 N 20TH ST, MILWAUKEE, WI 53209-6839
(414) 324-4832
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
16110-130
WI
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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