Organization
FRESH START COUNSELING CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERMAINE L REED (EXECUTIVE DIRECTOR)
(414) 431-0821
Entity
Organization
Contact information
Practice address
7101 W CAPITOL DR, MILWAUKEE, WI 53216-2051
(414) 431-0821
(414) 431-0831
Mailing address
7101 W CAPITOL DR, MILWAUKEE, WI 53216-2051
(414) 431-0821
(414) 431-0831
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2432
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42231500
—
WI
Enumeration date
12/18/2008
Last updated
12/18/2008
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