Organization
BELL THERAPY CSP
Active
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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