| Adult & Adolescent Trt. Ctr. | |
|
5225 N Ironwood Rd S102 Glendale WI 53217-4909 | |
| (414) 332-0552 | |
| (414) 962-4356 |
| Full Name | Adult & Adolescent Trt. Ctr. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 5225 N Ironwood Rd, Glendale, Wisconsin |
| Authorized Official Name and Position | Jeffrey W Wilson (PRESIDENT) |
| Authorized Official Contact | 4143320552 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adult & Adolescent Trt. Ctr. 5225 N Ironwood Rd S102 Glendale WI 53217-4909 Ph: (414) 332-0552 | Adult & Adolescent Trt. Ctr. 5225 N Ironwood Rd S102 Glendale WI 53217-4909 Ph: (414) 332-0552 |
| NPI Number | 1124286430 |
|---|---|
| Provider Enumeration Date | 05/23/2008 |
| Last Update Date | 05/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124286430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 15620 (Wisconsin) | Primary |
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