Whalio Doctors

NPI 1053654392

Frontida, INC.

Organisation Mental Illness Community Based Residential Treatment Facility New Berlin, WI

Practice location

Address
21600 W Cleveland Ave, New Berlin, WI 53146-1930
Phone
(262) 544-1189
Fax
(262) 347-3372
Mailing address
PO Box 580254, Pleasant Prairie, WI 53158-8021

Authorised official

Name
Crystal J Miller
Title
Owner
Phone
(262) 925-9302

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X Licence 0013446 (WI)

Registry record

NPI
1053654392
Entity type
Organization
NPI issued
5 Apr 2013
Record last updated
5 Apr 2013

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.