NPI 1275700437

St. Aemilian Lakeside

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Milwaukee, WI

Practice location

Address: 8901 W Capitol Dr, Milwaukee, WI 53222-1706
Phone: (414) 463-1880

Authorised official

Name: Laura van Alstine
Title: Quality Assurance Specialist
Phone: (414) 463-1880

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 1586121 (WI)

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

Registry record

NPI: 1275700437
Entity type: Organization
NPI issued: 15 May 2008
Record last updated: 16 May 2008

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.