Organization
WHITES RESIDENTIAL TREATMENT & CLINICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LANELL WHITE CCS (DIRECTOR)
(414) 536-7098
Entity
Organization
Contact information
Practice address
4020 W BURLEIGH ST, MILWAUKEE, WI 53210-1817
(414) 445-7288
(414) 445-7708
Mailing address
6400 W CAPITOL DR, SUITE 212, MILWAUKEE, WI 53216-2156
(414) 536-7098
(414) 536-7106
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
2665
WI
Other
Enumeration date
11/19/2009
Last updated
11/19/2009
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