NPI 1962350389
Hey Gworl
Practice location
- Address
- 825 S 60th St, West Allis, WI 53214-3365
- Phone
- (262) 649-0362
- Mailing address
- 9537 Hillside CT, Brown Deer, WI 53223-1361
Authorised official
- Name
- Latrice Ricketts
- Title
- Owner
- Phone
- (262) 327-9157
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1962350389
- Entity type
- Organization
- NPI issued
- 20 Mar 2026
- Record last updated
- 20 Mar 2026
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.