Organization
CENTER FOR QUALITY COMMUNITY LIFE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHRYN ANN CARTER MSM (CEO)
(414) 464-0578
Entity
Organization
Contact information
Practice address
6830 W VILLARD AVENUE, MILWAUKEE, WI 53218
(414) 464-0578
(414) 464-1315
Mailing address
6830 W VILLARD AVENUE, MILWAUKEE, WI 53218
(414) 464-0578
(414) 464-1315
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/04/2010
Last updated
09/12/2012
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