Provider First Line Business Practice Location Address:
ATTN: BEHAVIORAL HEALTH SERVICES (3RD FLOOR)
Provider Second Line Business Practice Location Address:
1220 W VLIET ST
Provider Business Practice Location Address City Name:
MILWAUKEE
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53205
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
414-257-7217
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/04/2006