NPI 1487712048

Clinicare Corporation

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility West Allis, WI

Practice location

Address: 10201 W Lincoln Ave Suite 306, West Allis, WI 53227-2136
Phone: (414) 545-9490
Fax: (414) 545-9491

Authorised official

Name: David W Fritsch
Title: President
Phone: (414) 545-9490

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Registry record

NPI: 1487712048
Entity type: Organization
NPI issued: 5 Dec 2006
Record last updated: 22 Aug 2020

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.