Social Rehabilitation And Residential Resources, Inc. | |
9330 W Lincoln Ave Ste 21 West Allis WI 53227-2300 | |
(414) 546-6880 | |
(414) 546-6234 |
Full Name | Social Rehabilitation And Residential Resources, Inc. |
---|---|
Speciality | Community/behavioral Health |
Location | 9330 W Lincoln Ave Ste 21, West Allis, Wisconsin |
Authorized Official Name and Position | Jeffery Kincaid (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 4145466880 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Social Rehabilitation And Residential Resources, Inc. 9330 W Lincoln Ave Ste 21 West Allis WI 53227-2300 Ph: (414) 546-6880 | Social Rehabilitation And Residential Resources, Inc. 9330 W Lincoln Ave Ste 21 West Allis WI 53227-2300 Ph: (414) 546-6880 |
NPI Number | 1154514776 |
---|---|
Provider Enumeration Date | 08/27/2007 |
Last Update Date | 08/27/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154514776 | NPI | - | NPPES |
42242500 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 2611 (Wisconsin) | Primary |
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› Verified 2 days ago
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