Organization
HOUSE OF PURPOSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LONDELL DALLAS (OWNER)
(414) 607-2662
Entity
Organization
Contact information
Practice address
2772 N MLK DR STE 106, MILWAUKEE, WI 53212-2312
(414) 607-2662
Mailing address
2975 RIVER BIRCH DR UNIT F, BROOKFIELD, WI 53045-3491
(414) 607-2662
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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