ST. ROSE YOUTH & FAMILY CENTER INC NPI 1740460708

NPI Information

NPI: 1740460708
Provider Name: ST. ROSE YOUTH & FAMILY CENTER, INC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
3801 N 88TH ST
MILWAUKEE, WI
ZIP 53222
Phone: (414) 466-9450
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ST. ROSE YOUTH & FAMILY CENTER, INC is a mental health counselor in Milwaukee, WI. ST. ROSE YOUTH & FAMILY CENTER, INC NPI is 1740460708. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3801 N 88TH ST
MILWAUKEE, WI
ZIP 53222-706
Phone: (414) 466-9450
Fax: (414) 466-0730

The provider's authorized official is James Maro .
The authorized official title is Ceo/president and has the following contact phone number (414) 466-9450.

The enumeration date for this NPI number is 11/7/2007 and was last updated on 11/7/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	1876	WISCONSIN	No
2	101YM0800X	Counselor	Mental Health	1876	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	42220200	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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