Organization
LUTHERAN SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN, INC.
Active
Other names
LSS Homme
Organization subpart
No
Provider details
NPI number
Authorized official
TARA TREGLOWNE (COO)
(414) 246-2300
Entity
Organization
Contact information
Practice address
W18105 HEMLOCK RD, WITTENBERG, WI 54499-8647
(715) 253-2116
Mailing address
W18105 HEMLOCK RD, WITTENBERG, WI 54499-8647
(715) 253-2116
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43017600
—
WI
Enumeration date
11/21/2006
Last updated
01/06/2025
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