Whalio Doctors

NPI 1053858019

Wise Management INC.

Organisation Mental Illness Community Based Residential Treatment Facility Mequon, WI

Practice location

Address
1538 W Liebau Rd, Mequon, WI 53092-2621
Phone
(414) 534-2979
Fax
(888) 530-6040
Mailing address
N94w20846 Schlei Rd, Menomonee Falls, WI 53051-1127

Authorised official

Name
Ruth Kantrowitz
Title
President
Phone
(414) 534-2979

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X

Registry record

NPI
1053858019
Entity type
Organization
NPI issued
27 Jan 2017
Record last updated
27 Jan 2017

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.