NPI | 1174910012 |
---|---|
Other Name | ST ANTHONY SCHOOL |
Entity Type | Organization |
Authorized Contact | TANYA M STAMPS Chief Financial Officer 414-897-5407 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: WI 1507-800) |
Enumeration Date | 2015-04-17 |
Last Update Date | 2025-01-08 |