NPI 1285319723

Lake Delavan Center INC

Organisation Mental Illness Community Based Residential Treatment Facility Delavan, WI

Practice location

Address: 311 Turtle Creek Dr, Delavan, WI 53115-1545
Phone: (414) 841-2972
Mailing address: 217 Wisconsin Ave STE 201, Waukesha, WI 53186-4946

Authorised official

Name: Karl Rajani
Title: President
Phone: (414) 581-0582

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Wisconsin →

Registry record

NPI: 1285319723
Entity type: Organization
NPI issued: 21 Jun 2023
Record last updated: 21 Jun 2023

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.