St. Rose Youth & Family Center, Inc
LBN: St. Rose Youth & Family Center, Inc
St. Rose Youth & Family Center, Inc is an health care organization with primary practice located at 3801 N 88Th St , Milwaukee WI 53222-2706. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty.
St. Rose Youth & Family Center, Inc can be contacted via phone (414) 466-9450, or through Maro, James via phone (414) 466-9450.
Contact Information
Primary practice address
3801 N 88Th St
Milwaukee WI 53222-2706
Phone: (414) 466-9450
Fax: (414) 466-0730
Website:
Authorized official contact:
Name: Maro, James Licensed Clinical Social Worker (LCSW)
Phone: (414) 466-9450
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1876 | Wisconsin |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 1876 | Wisconsin |
Profile Details
| NPI number | 1740460708 |
|---|---|
| LBN Legal business name | St. Rose Youth & Family Center, Inc |
| DBA Doing business as | |
| Authorized official | Maro, James Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 7th, 2007 |
| Last updated | Nov 7th, 2007 - about 19 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740460708 | NPPES |
| Wisconsin | MEDICAID | 42220200 |
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