Organization
ST. AEMILIAN-LAKESIDE, INC.
Active
Other names
Solutions Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERI ZYWICKI-NELSON (CEO)
(414) 463-1800
Entity
Organization
Contact information
Practice address
8901 W CAPITOL DR, MILWAUKEE, WI 53222-1706
(414) 463-1800
(414) 465-5783
Mailing address
8901 W CAPITOL DR, MILWAUKEE, WI 53222-1706
(414) 463-1800
(414) 465-5783
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2834703
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42109400
—
WI
Enumeration date
03/08/2007
Last updated
08/09/2007
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