Most Relevant Information
Provider Data
| NPI Number: | 1003217423 |
| Provider Name: | KENNETH SANTANA SAC-IT |
| Entity Type: | Individual |
| Taxonomy Code: | 324500000X |
| Specialty: | Substance Abuse Rehabilitation Facility |
| License Number: | 17228-130 |
Most Important Dates
| Enumeration Date: | 09/05/2014 |
| Last Updated: | 09/05/2014 |
Provider Practice Location
1111 S 6TH ST
MILWAUKEE
WI
532042301
Practice Location Phone/Fax
| Phone: | 4146491929 |
| Fax: |
Provider Mailing Location
1624A W WASHINGTON ST
MILWAUKEE
WI
532042064
Provider Mailing Phone/Fax
| Phone: | 4146491929 |
| Fax: |