Organization · Type 2 NPI
Lakeview Healthcare Systems Waterford
Mental Illness Community Based Residential Treatment Facility · Waterford, WI
NPI number
1508042961
Active
Practice location
5310 Buena Park Rd
Waterford, WI 53185-2907
Mailing address
2011 Rutland Dr
Austin, TX 78758-5421
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Another provider at this address
Other mental illness community based residential treatment facility providers in Waterford
About NPI 1508042961
Lakeview Healthcare Systems Waterford's National Provider Identifier is 1508042961, issued on Jan 16, 2008. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Waterford, WI. The record was last updated on Nov 24, 2008.