OrganizationActive
Community Support Services
NPI 1750660908 · Early Intervention Provider Agency · Milwaukee, WI
Provider details
- NPI number
- 1750660908
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Shanese Mcclendon, Director(414) 839-4755
Specialties & taxonomies
Agencies
Practice location
3813 N 52nd St
Milwaukee, WI 53216-2307
Phone: (414) 839-4755
Approximate (ZIP-level) locationGet directions
Mailing address
3813 N 52nd St
Milwaukee, WI 53216-2307
Registry dates
- Enumerated
- 2011-08-05
- Last updated
- 2011-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.