Organization
BELL THERAPY CSP
Active
Other names
Phoenix Care Systems
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERILYN CATHERINE DE FAZIO RN (NURSE)
(262) 564-0067
Entity
Organization
Contact information
Practice address
5500 8TH AVE, KENOSHA, WI 53140-3700
(262) 564-0067
Mailing address
3324 COUNTY LINE RD, RACINE, WI 53403-9704
(262) 552-7311
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
148570030
WI
Other
Enumeration date
03/14/2007
Last updated
08/22/2020
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