Organization
MILWAUKEE VA HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY WILBERT CARR (ADDICTION THERAPIST)
(414) 384-2000
Entity
Organization
Contact information
Practice address
5000 WEST NATIONAL AVENUE, MILWAUKEE, WI 53295
(414) 384-2000
Mailing address
5000 WEST NATIONAL AVENUE, MILWAUKEE, WI 53295
(414) 384-2000
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
WI
Other
Enumeration date
10/03/2006
Last updated
08/22/2020
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