NPI 1154514776

Social Rehabilitation and Residential Resources, INC.

Organisation Community/Behavioral Health Agency West Allis, WI

Practice location

Address: 9330 W Lincoln Ave STE 21, West Allis, WI 53227-2300
Phone: (414) 546-6880
Fax: (414) 546-6234

Authorised official

Name: Jeffery Kincaid
Title: Chief Executive Officer
Phone: (414) 546-6880

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence 2611 (WI)

Other Community/Behavioral Health providers in Wisconsin →

Registry record

NPI: 1154514776
Entity type: Organization
NPI issued: 27 Aug 2007
Record last updated: 27 Aug 2007

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.