NPI 1083918528
The Providers' Group INC
Practice location
- Address
- 3429 N 1st St, Milwaukee, WI 53212-1528
- Phone
- (414) 732-8636
Authorised official
- Name
- Tatia P Jackson
- Title
- Excutive Director
- Phone
- (414) 732-8636
Registered specialties (2)
Point of Service
Primary
Community/Behavioral Health Agency
Registry record
- NPI
- 1083918528
- Entity type
- Organization
- NPI issued
- 24 Dec 2010
- Record last updated
- 24 Dec 2010
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.