Organization · Type 2 NPI
Oconomowoc Developmental Training Center of Wisconsin LLC
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Oconomowoc, WI
Practice location
36100 Genesee Lake Rd
Oconomowoc, WI 53066
Fax (262) 569-9962
Mailing address
PO Box 278
Dousman, WI 53118
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None listed |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
8 other providers at this address
- Genesee Community Services, LLCCommunity/Behavioral Health Agency Oconomowoc, WI NPI 1679930655
- Angela GundersonSocial Worker Oconomowoc, WI NPI 1649691528
- Anne L. Felden, PSYCHOLOGISTPsychologist Oconomowoc, WI NPI 1215301502
- Ella GorganBehavior Analyst Oconomowoc, WI NPI 1851752851
- Kim Tula, CSWClinical Social Worker Oconomowoc, WI NPI 1922534387
- Mark Hohenwald, CSWSocial Worker Oconomowoc, WI NPI 1215481403
- Melanie FureySpeech-Language Pathologist Oconomowoc, WI NPI 1891320198
- Rose Worden, LPCProfessional Counselor Oconomowoc, WI NPI 1033639208
Other intellectual and/or developmental disabilities residential treatment facility providers in Oconomowoc
About NPI 1720117583
Oconomowoc Developmental Training Center of Wisconsin LLC's National Provider Identifier is 1720117583, issued on Mar 5, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Oconomowoc, WI. The record was last updated on Aug 22, 2020.