Organization
ST. CHARLES YOUTH AND FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHY CONNELY (PRESIDENT)
(414) 476-3710
Entity
Organization
Contact information
Practice address
151 S 84TH ST, MILWAUKEE, WI 53214-1456
(414) 476-3710
Mailing address
151 S 84TH ST, MILWAUKEE, WI 53214-1456
(414) 476-3710
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2156
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4300-3200
—
WI
Enumeration date
05/27/2008
Last updated
05/27/2008
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