Organization · NPI-2
A Key To The Streets Foundation INC.
Counselor, Mental Health · Milwaukee, WI
NPI number1992410500
StatusActive
Last updated in NPPESJan 18, 2023
Details
- NPI
- 1992410500
- Entity type
- Organization (NPI-2)
- Legal business name
- A Key To The Streets Foundation INC.
- Organization subpart
- No
- Enumeration date
- Jan 18, 2023
- Certification date
- Jan 18, 2023
- Last updated
- Jan 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Other names
- A Key To The Streets Foundation INC. (Doing Business As)
Practice location
7010 N 60th St Apt 101Milwaukee, WI 53223-5112
Phone 414-759-4730
Mailing address
Po Box 5483Milwaukee, WI 53205-0483
Phone 414-759-4730
Authorized official
Shaquan L Jefferson
Mental Health Therapist
4147594730
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