Whalio Doctors

NPI 1013240696

Oconomowoc Devemopmental Training Center Ll

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Dousman, WI

Practice location

Address
201-203 Cory Ave., Dousman, WI 53118
Phone
(262) 569-5515
Fax
(262) 569-9962
Mailing address
PO Box 278, Dousman, WI 53118

Authorised official

Name
M. Deborah Frisk
Title
Vice President
Phone
(262) 569-5515

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X

Registry record

NPI
1013240696
Entity type
Organization
NPI issued
14 Sep 2009
Record last updated
14 Sep 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.