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Kenneth Santana, SAC-IT
Substance Abuse Rehabilitation Facility in Milwaukee, Wisconsin
NPI 1003217423

Kenneth Santana is a Substance Abuse Rehabilitation Facility based in Milwaukee, WI. Kenneth Santana practices in Milwaukee, WI and has the professional credentials of SAC-IT. The NPI Number for Kenneth Santana is 1003217423 and holds a License No. 17228-130 (Wisconsin).

The current practice location address for Kenneth Santana is 1111 S 6Th St, Milwaukee, WI and can be reached out via phone at 414-649-1929.

Location: 1111 S 6Th St, Milwaukee, WI, 53204-2064
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Provider Profile Details
NPI Number
1003217423
Provider Name
Kenneth Santana
Credential
SAC-IT
Provider Entity Type
Individual
Gender
Male
Address
1111 S 6Th St, Milwaukee, WI, 53204-2064
Phone Number
414-649-1929
Fax Number
Provider Enumeration Date
09/05/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1111 S 6Th St
City
State
Zip
53204-2301
Phone Number
414-649-1929
Fax Number
person
Provider Business Mailing Address Details
Address
1111 S 6Th St
City
State
Zip
53204-2301
Phone Number
414-649-1929
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
17228-130 (Wisconsin)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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