Organization
TRANSITIONAL LIVING SERVICES, INC
Active
Parent organization
TRANSITIONAL LIVING SERVICES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRANSITIONAL LIVING SERVICES, INC
Authorized official
PEG DUBORD (PRESIDENT AND CEO)
(414) 476-9675
Entity
Organization
Contact information
Practice address
1040 S 70TH ST, MILWAUKEE, WI 53214-3174
(414) 476-9675
(414) 615-0627
Mailing address
1040 S 70TH ST, MILWAUKEE, WI 53214-3174
(414) 476-9675
(414) 615-0627
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/09/2009
Last updated
04/04/2012
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