Organization · Type 2 NPI
KLS Community Outreach Teen Center Consulting and Management L.l.c.
Voluntary or Charitable Agency · Brown Deer, WI
NPI number
1962891994
Active
Practice location
8330 North Teutonia Ave Suite 103
Brown Deer, WI 53209
Fax (414) 368-3051
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Public Health or Welfare Agency | 251K00000X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Voluntary or Charitable Agency Primary | 251V00000X | None listed |
Voluntary or Charitable Agency: Definition to come...
About NPI 1962891994
KLS Community Outreach Teen Center Consulting and Management L.l.c.'s National Provider Identifier is 1962891994, issued on Jan 14, 2015. The primary taxonomy on file is Voluntary or Charitable Agency (251V00000X), and the practice location is in Brown Deer, WI. The record was last updated on Jan 14, 2015.