Organization
TRANSITIONAL LIVING SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT WRENN (PRESIDENT AND CEO)
(414) 476-9615
Entity
Organization
Contact information
Practice address
3710 DOUGLAS AVE, RACINE, WI 53402-3227
(262) 639-8084
(262) 639-8086
Mailing address
1040 S 70TH ST, MILWAUKEE, WI 53214-3174
(414) 476-9675
(414) 615-0627
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2112
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43429700
—
WI
Enumeration date
08/14/2007
Last updated
08/16/2007
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