Organization
FRONTIDA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL J MILLER (OWNER)
(262) 925-9302
Entity
Organization
Contact information
Practice address
21600 W CLEVELAND AVE, NEW BERLIN, WI 53146-1930
(262) 544-1189
(262) 347-3372
Mailing address
PO BOX 580254, PLEASANT PRAIRIE, WI 53158-8021
(262) 925-9302
(262) 347-3372
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
0013446
WI
Other
Enumeration date
04/05/2013
Last updated
04/05/2013
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