IndividualActive
Chiquita Pryor
NPI 1114643566 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Milwaukee, WI
Provider details
- NPI number
- 1114643566
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
10130 W Tower Ave
Milwaukee, WI 53224-2914
Phone: (414) 617-2188
Approximate (ZIP-level) locationGet directions
Mailing address
10130 W Tower Ave
Milwaukee, WI 53224-2914
Registry dates
- Enumerated
- 2022-10-18
- Last updated
- 2022-10-18
- Certified
- 2022-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.