Provider Demographics
NPI:1730413345
Name:BENEDICT CENTER
Entity type:Organization
Organization Name:BENEDICT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KIT
Authorized Official - Middle Name:MURPHY
Authorized Official - Last Name:MCNALLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-347-1774
Mailing Address - Street 1:135 W WELLS ST
Mailing Address - Street 2:SUITE 700
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53203-1830
Mailing Address - Country:US
Mailing Address - Phone:414-347-1774
Mailing Address - Fax:414-347-0148
Practice Address - Street 1:135 W WELLS ST
Practice Address - Street 2:SUITE 700
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53203-1830
Practice Address - Country:US
Practice Address - Phone:414-347-1774
Practice Address - Fax:414-347-0148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-29
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2456251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health