Organization
KLS COMMUNITY OUTREACH TEEN CENTER CONSULTING AND MANAGEMENT L.L.C.
Active
Other names
KLS COMMUNITY RESOURCES
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KENYA LATRICE SMITH (CEO)
(414) 236-5278
Entity
Organization
Contact information
Practice address
8330 NORTH TEUTONIA AVE SUITE 103, BROWN DEER, WI 53209
(414) 236-5278
(414) 368-3051
Mailing address
8330 NORTH TEUTONIA AVE SUITE 103, BROWN DEER, WI 53209
(414) 236-5278
(414) 368-3051
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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