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Gateway To Change
Clinic/Center in Milwaukee, Wisconsin
NPI 1952679458

Gateway To Change is a Clinic/Center based in Milwaukee, WI. Gateway To Change practices in Milwaukee, WI. The NPI Number for Gateway To Change is 1952679458 and holds a License No. 396006491 (Wisconsin).

The current practice location address for Gateway To Change is 2319 W Capitol Dr, Milwaukee, WI and can be reached out via phone at 414-442-2033. You can also correspond with Gateway To Change through the mailing address at 2319 W CAPITOL DR, MILWAUKEE, WI - 53206-1919 (mailing address contact number: 414-442-2033).

Location: 2319 W Capitol Dr, Milwaukee, WI, 53206-1919
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952679458
Provider Name
Gateway To Change
Credential
Provider Entity Type
Organization
Address
2319 W Capitol Dr, Milwaukee, WI, 53206-1919
Phone Number
414-442-2033
Fax Number
Provider Enumeration Date
12/12/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2319 W Capitol Dr
City
Milwaukee
State
Wisconsin
Zip
53206-1919
Phone Number
414-442-2033
Fax Number
person
Provider Business Mailing Address Details
Address
2319 W Capitol Dr
City
Milwaukee
State
Wisconsin
Zip
53206-1919
Phone Number
414-442-2033
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
396006491 (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).
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