Organization
META HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE ANN ULLSTRUP LCSW, CSAC, ICS (DIRECTOR OF PROGRAMS)
(414) 977-5871
Entity
Organization
Contact information
Practice address
2618 N BREMEN ST, MILWAUKEE, WI 53212-3003
(414) 962-1200
(414) 372-9287
Mailing address
2618 N BREMEN ST, MILWAUKEE, WI 53212-3003
(414) 962-1200
(414) 372-9287
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
WI
Other
Enumeration date
12/10/2010
Last updated
12/10/2010
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