KENNETH SANTANA

MILWAUKEE, WI
NPI1003217423
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
(Licence: WI  17228-130)
Enumeration Date2014-09-05
Last Update Date2014-09-05
Business Address
-- KENNETH SANTANA SAC-IT
1111 S 6TH ST
MILWAUKEE, WI 53204-2301
Phone number: 414-649-1929
Mailing Address
-- KENNETH SANTANA SAC-IT
1624A W WASHINGTON ST
MILWAUKEE, WI 53204-2064
Phone number: 414-649-1929