Academy of Learning and Leadership
Organization Active NPI Student Health Clinic/Center · Milwaukee, WI
NPI 1609040351 · NPPES record last updated Apr 14, 2008
Key facts
- NPI
- 1609040351
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Student Health Clinic/Center 261QS1000X
- Legal business name
- ACADEMY OF LEARNING AND LEADERSHIP
- Practice address
- 1530 W Center St
Milwaukee, WI 53206-2101 - Phone
- (414) 372-3942
- Fax
- (414) 372-8260
- NPI assigned
- Apr 14, 2008
- Organization subpart
- No
Authorized official
- Name
- Mrs. M. Camille Mortimore, PH.D
- Title
- Executive Director
- Phone
- (414) 372-3942
National Provider Directory
Locations
1530 W Center St
Milwaukee, WI 53206
Phone (414) 372-3942
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student Health Clinic/Center | 261QS1000X | WI | Yes |
Addresses
Primary practice location
1530 W Center St
Milwaukee, WI 53206-2101
Mailing address
1530 W Center St
Milwaukee, WI 53206-2101
Phone (414) 372-3942
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44241900 | Medicaid | WI |
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All providers in Milwaukee, WI · Student Health Clinic/Center in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.