Organization
MILWAUKEE ACADEMY
Active
Parent organization
CLINICARECORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLINICARECORPORATION
Authorized official
MS. DANA K DORN LCSW (DIRECTOR)
(414) 257-3141
Entity
Organization
Contact information
Practice address
9501 W WATERTOWN PLANK RD, WAUWATOSA, WI 53226-3552
(414) 257-3141
(414) 257-3151
Mailing address
9501 W WATERTOWN PLANK RD, WAUWATOSA, WI 53226-3552
(414) 257-3141
(414) 257-3151
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41814600
—
WI
Enumeration date
05/15/2008
Last updated
05/15/2008
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