Organization
ASCENT FOR LIFE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY LANGTIMM (EXECUTIVE DIRECTOR)
(414) 350-6064
Entity
Organization
Contact information
Practice address
440 W VLIET ST, MILWAUKEE, WI 53212-4016
(414) 350-6064
(414) 246-4322
Mailing address
440 W VLIET ST, MILWAUKEE, WI 53212-4016
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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