Organization
MILWAUKEE ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DANA DORN (DIRECTOR)
(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
9501 W WATERTOWN PLANK RD, PO BOX 13397, WAUWATOSA, WI 53226-3552
(414) 257-3141
(414) 257-3151
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
WI
Other
Enumeration date
12/06/2006
Last updated
08/22/2020
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