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Life Changing Ministries Substance Abuse Services
Substance Abuse Rehabilitation Facility in Milwaukee, Wisconsin
NPI 1679981328

Life Changing Ministries Substance Abuse Services is a Substance Abuse Rehabilitation Facility based in Milwaukee, WI. Life Changing Ministries Substance Abuse Services practices in Milwaukee, WI. The NPI Number for Life Changing Ministries Substance Abuse Services is 1679981328 and holds a License No. (Wisconsin).

The current practice location address for Life Changing Ministries Substance Abuse Services is 1134 W North Ave 2Nd Floor, Milwaukee, WI and can be reached out via phone at 414-269-9660 and via fax at 414-755-0698.

Location: 1134 W North Ave 2Nd Floor, Milwaukee, WI, 53205-1333
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679981328
Provider Name
Life Changing Ministries Substance Abuse Services
Credential
Provider Entity Type
Organization
Address
1134 W North Ave 2Nd Floor, Milwaukee, WI, 53205-1333
Phone Number
414-269-9660
Fax Number
414-755-0698
Provider Enumeration Date
07/25/2014
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
52D2142323 01 WI FDA CLIA
100041767 05 WI
100043806 05 WI
institution
Provider Business Practice Location Address Details
Address
1134 W North Ave 2Nd Floor
City
Milwaukee
State
Wisconsin
Zip
53205
Phone Number
414-269-9660
Fax Number
414-755-0698
person
Provider Business Mailing Address Details
Address
1134 W North Ave 2Nd Floor
City
Milwaukee
State
Wisconsin
Zip
53205
Phone Number
414-269-9660
Fax Number
414-755-0698
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
3045 (Wisconsin)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
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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