NPI 1386943066

Community Care Housing LLC

Organisation Substance Abuse Rehabilitation Facility Milwaukee, WI

Practice location

Address: 544 E Ogden Ave STE 700-268, Milwaukee, WI 53202-2698
Phone: (414) 241-1553

Authorised official

Name: Larry Russell
Title: Member
Phone: (414) 241-1553

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Wisconsin →

Registry record

NPI: 1386943066
Entity type: Organization
NPI issued: 21 Mar 2011
Record last updated: 21 Mar 2011

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.