Organization
WILLOWGLEN ACADEMY-WISCONSIN, INC.
Active
Parent organization
PHOENIX CARE SYSTEMS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHOENIX CARE SYSTEMS, INC.
Authorized official
MS. PAULA A. LUCEY MSN, RN (EXECUTIVE DIRECTOR)
(414) 527-6970
Entity
Organization
Contact information
Practice address
5151 W SILVER SPRING DR, MILWAUKEE, WI 53218-3300
(414) 527-6970
(414) 527-6941
Mailing address
5151 W SILVER SPRING DR, MILWAUKEE, WI 53218-3300
(414) 527-6970
(414) 527-6941
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
67227-30
WI
Other
Enumeration date
04/28/2010
Last updated
04/28/2010
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