NPI 1023281987

Gateway to Change

Organisation Community/Behavioral Health Agency Milwaukee, WI

Practice location

Address: 2319 W Capitol Dr, Milwaukee, WI 53206-1919
Phone: (414) 442-2033
Fax: (414) 442-2167

Authorised official

Name: Glenda O Hampton
Title: Execdutive Director
Phone: (414) 442-2033

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence 2479 (WI)

Other Community/Behavioral Health providers in Wisconsin →

Registry record

NPI: 1023281987
Entity type: Organization
NPI issued: 10 Apr 2008
Record last updated: 10 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.