| Transitional Living Services, Inc | |
|
3710 Douglas Ave Racine WI 53402-3227 | |
| (262) 639-8084 | |
| (262) 639-8086 |
| Full Name | Transitional Living Services, Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3710 Douglas Ave, Racine, Wisconsin |
| Authorized Official Name and Position | Robert E Wrenn (PRESIDENT AND CEO) |
| Authorized Official Contact | 4144769631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transitional Living Services, Inc 1040 S 70th St Milwaukee WI 53214-3164 Ph: (414) 476-9675 | Transitional Living Services, Inc 3710 Douglas Ave Racine WI 53402-3227 Ph: (262) 639-8084 |
| NPI Number | 1457395212 |
|---|---|
| Provider Enumeration Date | 06/15/2006 |
| Last Update Date | 02/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457395212 | NPI | - | NPPES |
| DD9253 | Other | WI | RAILROAD MEDICARE PART B |
| 42219500 | Medicaid | WI |
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