Gateway To Change

NPI 1023281987 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1023281987
Enumeration Date 04/10/2008
Last Updated 04/10/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name GLENDA O GLENDA
Position EXECDUTIVE DIRECTOR
Phone (414) 442-2033
Fax (414) 442-2167
Practice Location
2319 W CAPITOL DR
MILWAUKEE WI, 53206-1919, US
Phone (414) 442-2033
Fax (414) 442-2167
Business Location
2319 W CAPITOL DR
MILWAUKEE WI, 53206-1919, US
Phone (414) 442-2033
Fax (414) 442-2167
Toxanomy
Taxonomy Code 251S00000X
License State Wisconsin
License Number 2479
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According to our database, Gateway To Change NPI is 1023281987, taxonomy code is 251S00000X and license number is 2479, license state is located at Wisconsin. Gateway To Change physically located at 2319 W Capitol Dr, Milwaukee WI, 53206-1919. NPI Number 1033115704 has the healthcare provider type.

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1023281987 NPI number is provided on an as is basis without warranty of any kind. 1023281987 is maintained by the National Plan & Provider Enumeration System. The contents of Gateway To Change are for informational purposes only.