NPI 1144588922
Grassroots Empowerment Project INC
Practice location
- Address
- 3732 W Wisconsin Ave, Milwaukee, WI 53208
- Phone
- (414) 344-0447
- Fax
- (414) 344-0450
- Mailing address
- PO Box 8683, Madison, WI 53708-8683
Authorised official
- Name
- Molly Cisco
- Title
- Executive Director
- Phone
- (608) 206-5094
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1144588922
- Entity type
- Organization
- NPI issued
- 30 Apr 2012
- Record last updated
- 30 Apr 2012
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.