Provider Demographics
NPI:1154889749
Name:POSITIVE DIRECTIONS INC
Entity type:Organization
Organization Name:POSITIVE DIRECTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AILSA
Authorized Official - Middle Name:
Authorized Official - Last Name:STOKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-999-5336
Mailing Address - Street 1:3510 W SAINT PAUL AVE APT 6
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53208-4125
Mailing Address - Country:US
Mailing Address - Phone:414-999-5336
Mailing Address - Fax:
Practice Address - Street 1:3510 W SAINT PAUL AVE # 6
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53208-4125
Practice Address - Country:US
Practice Address - Phone:414-999-5663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-04
Last Update Date:2019-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center