NPI 1285187179

River's Shore Clinic Ctc

Organisation Substance Abuse Rehabilitation Facility Milwaukee, WI

Practice location

Address: 3707 N Richards St, Milwaukee, WI 53212-1673
Phone: (414) 967-7006

Authorised official

Name: Lateka Washington
Title: Clinical Director
Phone: (414) 967-7006

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence 227113 (WI)

Other Substance Abuse Rehabilitation Facility providers in Wisconsin →

Registry record

NPI: 1285187179
Entity type: Organization
NPI issued: 27 Jul 2016
Record last updated: 27 Jul 2016

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.