Waukesha County (day Treatment) | |
1501 Airport Rd Waukesha WI 53188-3632 | |
(262) 548-7950 | |
(262) 970-4791 |
Full Name | Waukesha County (day Treatment) |
---|---|
Speciality | Community/behavioral Health |
Location | 1501 Airport Rd, Waukesha, Wisconsin |
Authorized Official Name and Position | Antwayne M Robertson (DIRECTOR OF DHHS) |
Authorized Official Contact | 2625487223 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Waukesha County (day Treatment) 514 Riverview Ave Attn: Fiscal Department Waukesha WI 53188-3632 Ph: (262) 548-7399 | Waukesha County (day Treatment) 1501 Airport Rd Waukesha WI 53188-3632 Ph: (262) 548-7950 |
NPI Number | 1982728168 |
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Provider Enumeration Date | 03/16/2007 |
Last Update Date | 11/01/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982728168 | NPI | - | NPPES |
10063326 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 10063326 (Wisconsin) | Primary |
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