Kls Community Outreach Teen Center Consulting and Management L.l.c.

NPI #1962891994 in Brown Deer, Wisconsin

Provider Information

NPI Number
1962891994
Entity Type
Organization
Organization Name
Kls Community Outreach Teen Center Consulting and Management L.l.c.
Primary Specialty
Voluntary or Charitable
Enumeration Date
Jan 14, 2015
Last Updated
Jan 14, 2015

Practice Location

Address
8330 NORTH TEUTONIA AVE SUITE 103
ZIP Code
53209
Phone
(414) 236-5278

Authorized Official

Name
MRS. KENYA LATRICE SMITH
Title
CEO
Phone
(414) 236-5278

Specialties & Taxonomy Codes

Specialty
Public Health or Welfare
Community/Behavioral Health
Voluntary or Charitable

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