NPI 1134764103

Anders Developmental & Transition Home LLC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Milwaukee, WI

Practice location

Address: 3359 N 25th St, Milwaukee, WI 53206-1237
Phone: (414) 509-7517
Mailing address: PO Box 342563, Milwaukee, WI 53234-2563

Authorised official

Name: Susie K Anders
Title: Officer
Phone: (414) 899-9897

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Registry record

NPI: 1134764103
Entity type: Organization
NPI issued: 13 Nov 2019
Record last updated: 13 Nov 2019

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.