Organization
CLINICARE CORPORATION - MILWAUKEE ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EVA THERESE CRIBBEN MS (PROGRAM THERAPIST)
(414) 257-3141
Entity
Organization
Contact information
Practice address
9501 W WATERTOWN PLANK RD, WAUWATOSA, WI 53226-3552
(414) 257-3141
(414) 257-3151
Mailing address
10201 W LINCOLN AVE, WEST ALLIS, WI 53227-2136
(414) 257-3141
(414) 257-3151
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
1178-226
WI
Other
Enumeration date
01/22/2013
Last updated
01/22/2013
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