NPI 1376996777
Healing Waters Family Enrichment Center
Practice location
- Address
- 4312 N 76th St 4, Milwaukee, WI 53222-2043
- Phone
- (414) 499-8463
- Mailing address
- 4312 N 76th St APT a, Milwaukee, WI 53222-2043
Authorised official
- Name
- Kelly Danielle Coleman
- Title
- Owner
- Phone
- (414) 499-8463
Registered specialties
Early Intervention Provider Agency
Primary
Registry record
- NPI
- 1376996777
- Entity type
- Organization
- NPI issued
- 20 Jul 2016
- Record last updated
- 20 Jul 2016
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.