Organization · NPI-2

Catholic Charities Of The Archdiocese Of Milwaukee INC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Racine, WI

NPI number1619950011
StatusActive
Last updated in NPPESMay 6, 2026

Details

NPI
1619950011
Entity type
Organization (NPI-2)
Legal business name
Catholic Charities Of The Archdiocese Of Milwaukee INC
Organization subpart
No
Enumeration date
Nov 21, 2005
Certification date
May 6, 2026
Last updated
May 6, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)1135WIYes

Other names

  • Catholic Social Services Of The Archdiocese Of Milwaukee INC (Former Legal Business Name)

Practice location

800 Wisconsin Ave
Racine, WI 53403-1526

Phone 262-637-8888 · Fax 262-637-0695

Mailing address

3501 S Lake Dr
St Francis, WI 53235-0900

Phone 414-769-3400

Authorized official

Carey Jacobsen
Senior Program Director
4147693400

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