Organization · Type 2 NPI
The Cambrige Group Inc.
Mental Illness Community Based Residential Treatment Facility · Glendale, WV
NPI number
1972610541
Active
Practice location
6110 N. Port Washington Road
Glendale, WV 53217
Fax (414) 963-6866
Mailing address
6110 N Port Washington Rd
Glendale, WI 53217-4308
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 1404-057 (WI) |
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.
About NPI 1972610541
The Cambrige Group Inc.'s National Provider Identifier is 1972610541, issued on Aug 23, 2006. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Glendale, WV. The record was last updated on Dec 28, 2007.