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1205225919
IMPACT ALCOHOL & OTHER DRUG ABUSE SERVICES, INC.
MILWAUKEE, WI
NPI
1205225919
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Entity Type
Organization
Authorized Contact
THOMAS E MARTIN
Controller
414-256-4812
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: WI 2746)
Enumeration Date
2015-01-19
Last Update Date
2015-01-19
Business Address
IMPACT ALCOHOL & OTHER DRUG ABUSE SERVICES, INC.
6737 W WASHINGTON ST STE 2225
MILWAUKEE, WI 53214-5663
Phone number: 414-256-4808
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Mailing Address
IMPACT ALCOHOL & OTHER DRUG ABUSE SERVICES, INC.
6737 W WASHINGTON ST STE 2225
MILWAUKEE, WI 53214-5663
Phone number: 414-256-4808
Copy
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