| Academy of Learning and Leadership | |
|
1530 W Center St Milwaukee WI 53206-2101 | |
| (414) 372-3942 | |
| (414) 372-8260 |
| Full Name | Academy of Learning and Leadership |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 1530 W Center St, Milwaukee, Wisconsin |
| Authorized Official Name and Position | M. Camille Mortimore (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4143723942 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Academy of Learning and Leadership 1530 W Center St Milwaukee WI 53206-2101 Ph: (414) 372-3942 | Academy of Learning and Leadership 1530 W Center St Milwaukee WI 53206-2101 Ph: (414) 372-3942 |
| NPI Number | 1609040351 |
|---|---|
| Provider Enumeration Date | 04/14/2008 |
| Last Update Date | 04/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609040351 | NPI | - | NPPES |
| 44241900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (Wisconsin) | Primary |
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