Kls Community Outreach Teen Center Consulting and Management L.l.c.
NPI #1548659634 in Brown Deer, Wisconsin
Provider Information
- NPI Number
- 1548659634
- Entity Type
- Organization
- Organization Name
- Kls Community Outreach Teen Center Consulting and Management L.l.c.
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Jan 13, 2015
- Last Updated
- Jan 13, 2015
Practice Location
- Address
- 8330 NORTH TEUTONIA AVENUE SUITE 103
- City
- Brown Deer
- State
- Wisconsin
- ZIP Code
- 53209
- Phone
- (414) 236-5278
Authorized Official
- Name
- MRS. KENYA LATRICE SMITH
- Title
- CEO
- Phone
- (414) 236-5278
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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