Organization
THE SLM GROUP
Active
Other names
The Clarence Mull Youth and Development Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARQUIS A YOUNG SR. (PRESIDENT)
(262) 893-0859
Entity
Organization
Contact information
Practice address
2600 W FOND DU LAC AVE, MILWAUKEE, WI 53206-5320
(414) 499-9241
Mailing address
6030 W GREENFIELD AVE, WEST ALLIS, WI 53214-5001
(414) 671-9095
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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