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Supportive Community Services, INC.

Case Management in West Allis, WI. Organization (NPI-2).

NPI number1760638951
StatusActive
Last updated in NPPESAug 7, 2008

Details

NPI
1760638951
Entity type
Organization (NPI-2)
Legal business name
Supportive Community Services, INC.
Organization subpart
No
Enumeration date
Aug 7, 2008
Last updated
Aug 7, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case Management2192-800WIYes

Practice location

1126 S 70th St Ste S106
West Allis, WI 53214-3159

Phone 414-475-2666 · Fax 414-475-2670

Mailing address

1126 S 70th St Ste S106
West Allis, WI 53214-3159

Phone 414-475-2666 · Fax 414-475-2670

Authorized official

Dan Langenwalter
Executive Director
4144752666

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