Organization · Type 2 NPI

Wisconsin Eating Disorder Specialists SC

Psychiatric Hospital · Oconomowoc, WI

NPI number 1801807375 Active

Practice location

34700 Valley Rd
Oconomowoc, WI 53066-4500

Fax (262) 646-7067

Mailing address

3630 N Hickory Ln
Oconomowoc, WI 53066-4532

Specialties and licenses

TaxonomyCodeLicense
Psychiatric Hospital Primary 283Q00000XNone listed

Psychiatric Hospital: An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

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About NPI 1801807375

Wisconsin Eating Disorder Specialists SC's National Provider Identifier is 1801807375, issued on Aug 10, 2006. The primary taxonomy on file is Psychiatric Hospital (283Q00000X), and the practice location is in Oconomowoc, WI. The record was last updated on Aug 22, 2020.