Organization
LAKEVIEW HEALTHCARE SYSTEMS WATERFORD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER SLOVER (CEO)
(512) 973-9700
Entity
Organization
Contact information
Practice address
5310 BUENA PARK RD, WATERFORD, WI 53185-2907
(262) 534-7297
Mailing address
2011 RUTLAND DR, AUSTIN, TX 78758-5421
(512) 973-9700
(512) 857-0504
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/16/2008
Last updated
11/24/2008
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