CATHOLIC CHARITIES OF THE ARCHDIOCESE OF MILWAUKEE INC NPI 1235112020

NPI Information

NPI: 1235112020
Provider Name: CATHOLIC CHARITIES OF THE ARCHDIOCESE OF MILWAUKEE INC

Former Legal Business Name: CATHOLIC SOCIAL SERVICES OF THE ARCHDIOCESE OF MILWAUKEE INC

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
7635 W OKLAHOMA AVE
#104
MILWAUKEE, WI
ZIP 53219
Phone: (414) 541-3624
Get Directions

CATHOLIC CHARITIES OF THE ARCHDIOCESE OF MILWAUKEE INC is an adult mental health clinic center in Milwaukee, WI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. CATHOLIC CHARITIES OF THE ARCHDIOCESE OF MILWAUKEE INC NPI is 1235112020. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Catholic Social Services Of The Archdiocese Of Milwaukee Inc.

The provider's business location address is:

7635 W OKLAHOMA AVE
#104
MILWAUKEE, WI
ZIP 53219-600
Phone: (414) 541-3624
Fax: (414) 541-3624

The provider's authorized official is Gary D Howley .
The authorized official title is Director Of Operations and has the following contact phone number (414) 769-3616.

The enumeration date for this NPI number is 11/25/2005 and was last updated on 8/22/2020.

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	261QM0850X	Clinic/Center	Adult Mental Health	2400	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	42162300	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: 4/28/2024

NPI Synchronization or Removal

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