Waukesha County (crisis Intervention) | |
514 Riverview Ave Waukesha WI 53188-3632 | |
(262) 548-7666 | |
(262) 970-6696 |
Full Name | Waukesha County (crisis Intervention) |
---|---|
Speciality | Community/behavioral Health |
Location | 514 Riverview Ave, Waukesha, Wisconsin |
Authorized Official Name and Position | David M Derosier (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 2625488431 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Waukesha County (crisis Intervention) 514 Riverview Ave Attn: Fiscal Department Waukesha WI 53188-3632 Ph: (262) 548-7665 | Waukesha County (crisis Intervention) 514 Riverview Ave Waukesha WI 53188-3632 Ph: (262) 548-7666 |
NPI Number | 1174655567 |
---|---|
Provider Enumeration Date | 03/12/2007 |
Last Update Date | 01/24/2024 |
Certification Date | 01/24/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174655567 | NPI | - | NPPES |
32976100 | Other | WI | MA PROVIDER NUMBER |
32976100 | Medicaid | WI |
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