| Recovery Network -transitional Living | |
|
1314 W. National Avenue Milwaukee WI 53204-2163 | |
| (414) 727-7985 | |
| (414) 727-8121 |
| Full Name | Recovery Network -transitional Living |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1314 W. National Avenue, Milwaukee, Wisconsin |
| Authorized Official Name and Position | James S Valona (PRESIDENT-RECOVERY NETWORK, INC.) |
| Authorized Official Contact | 4144030232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Recovery Network -transitional Living 825 S 14th St 1314 West National Ave. Milwaukee WI 53204-2163 Ph: (414) 647-9930 | Recovery Network -transitional Living 1314 W. National Avenue Milwaukee WI 53204-2163 Ph: (414) 727-7985 |
| NPI Number | 1437323870 |
|---|---|
| Provider Enumeration Date | 04/16/2008 |
| Last Update Date | 02/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437323870 | NPI | - | NPPES |
| 39179200 | Medicaid | WI | |
| 42239500 | Medicaid | WI | |
| 42239521 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2569 (Wisconsin) | Primary |
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