Organization · Type 2 NPI
Oconomowoc Developmental Training Center of Wisconsin LLC
Emotionally Disturbed Childrens' Residential Treatment Facility · Oconomowoc, WI
Practice location
36100 Genesee Lake School
Oconomowoc, WI 53066
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | None listed |
Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
About NPI 1689145500
Oconomowoc Developmental Training Center of Wisconsin LLC's National Provider Identifier is 1689145500, issued on Dec 17, 2018. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Oconomowoc, WI. The record was last updated on Dec 17, 2018.