Organization
BELL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONARD F DZIUBLA LCSW (PRESIDENT & CEO)
(414) 225-4460
Entity
Organization
Contact information
Practice address
4065 N 35TH ST, MILWAUKEE, WI 53216-1705
(414) 445-9180
(414) 445-5995
Mailing address
1744 N FARWELL AVE, MILWAUKEE, WI 53202-1806
(414) 225-4460
(414) 225-4469
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
1096
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1096
STATE LICENSE
WI
05
—
42108826
—
WI
Enumeration date
01/16/2007
Last updated
08/22/2020
Update your record
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