Organization · NPI-2

Academy Of Learning And Leadership

Clinic/Center, Student Health · Milwaukee, WI

NPI number1609040351
StatusActive
Last updated in NPPESApr 14, 2008

Details

NPI
1609040351
Entity type
Organization (NPI-2)
Legal business name
Academy Of Learning And Leadership
Organization subpart
No
Enumeration date
Apr 14, 2008
Last updated
Apr 14, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QS1000X Clinic/Center, Student Health–WIYes

Practice location

1530 W Center St
Milwaukee, WI 53206-2101

Phone 414-372-3942 · Fax 414-372-8260

Mailing address

1530 W Center St
Milwaukee, WI 53206-2101

Phone 414-372-3942 · Fax 414-372-8260

Authorized official

M. Camille Mortimore
Executive Director
4143723942

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