Individual provider · Type 1 NPI
Phabian Treyvonne Dejean
Assisted Living Facility (Mental Illness) · Kaukauna, WI
Practice location
104 W 4th St
Kaukauna, WI 54130-2447
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility (Mental Illness) Primary | 3104A0625X | 0019259 (WI) |
Assisted Living Facility (Mental Illness): A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
About NPI 1346950698
Phabian Treyvonne Dejean's National Provider Identifier is 1346950698, issued on Nov 28, 2022. The primary taxonomy on file is Assisted Living Facility (Mental Illness) (3104A0625X), and the practice location is in Kaukauna, WI. The record was last updated on Nov 28, 2022.