NPI 1225472632

Reveive Youth and Family Services

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Milwaukee, WI

Practice location

Address: 2518 N 17th St, Milwaukee, WI 53206-2020
Phone: (414) 915-2637
Fax: (414) 810-1567
Mailing address: 2518 N17th St., Milwaukee, WI 53206

Authorised official

Name: Crystal a McClain
Title: Therapist
Phone: (414) 763-6603

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 8035461 (WI)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Wisconsin →

Registry record

NPI: 1225472632
Entity type: Organization
NPI issued: 29 Apr 2013
Record last updated: 29 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.