St. Rose Youth & Family Center, Inc

LBN: St. Rose Youth & Family Center, Inc
St. Rose Youth & Family Center, Inc is an health care organization with primary practice located at 3801 N 88Th St , Milwaukee WI 53222-2706. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. St. Rose Youth & Family Center, Inc can be contacted via phone (414) 466-9450, or through Maro, James via phone (414) 466-9450.

Contact Information

Primary practice address
3801 N 88Th St Milwaukee WI 53222-2706
Phone: (414) 466-9450
Fax: (414) 466-0730
Website:
Map and Directions
Authorized official contact:
Name: Maro, James Licensed Clinical Social Worker (LCSW)
Phone: (414) 466-9450

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1876 Wisconsin
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1876 Wisconsin

Profile Details

NPI number 1740460708
LBN Legal business name St. Rose Youth & Family Center, Inc
DBA Doing business as
Authorized official Maro, James Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2007
Last updated Nov 7th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740460708 NPPES
Wisconsin MEDICAID 42220200

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