Adult & Adolescent Trt. Ctr. | |
5225 N Ironwood Rd S102 Glendale WI 53217-4909 | |
(414) 332-0552 | |
(414) 962-4356 |
Full Name | Adult & Adolescent Trt. Ctr. |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 5225 N Ironwood Rd, Glendale, Wisconsin |
Authorized Official Name and Position | Jeffrey W Wilson (PRESIDENT) |
Authorized Official Contact | 4143320552 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Adult & Adolescent Trt. Ctr. 5225 N Ironwood Rd S102 Glendale WI 53217-4909 Ph: (414) 332-0552 | Adult & Adolescent Trt. Ctr. 5225 N Ironwood Rd S102 Glendale WI 53217-4909 Ph: (414) 332-0552 |
NPI Number | 1124286430 |
---|---|
Provider Enumeration Date | 05/23/2008 |
Last Update Date | 05/23/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124286430 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 15620 (Wisconsin) | Primary |
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