| Organization Name: | CATHOLIC CHARITIES OF THE ARCHDIOCESE OF MILWAUKEE INC |
| NPI Number: | 1053394841 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JULIE A BUSH (BILLING MANAGER) |
| Mailing Address: | 717 N East Ave Waukesha |
| State: | WI US |
| Postal Code: | 531864906 |
| Phone Number: | 2625472463 |
| Fax Number: | 2625478002 |
| NPI Enumeration Date: | 11/25/2005 |
| NPI Last Update Date: | 10/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | 1134 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |