NPI 1508042961

Lakeview Healthcare Systems Waterford

Organisation Mental Illness Community Based Residential Treatment Facility Waterford, WI

Practice location

Address: 5310 Buena Park Rd, Waterford, WI 53185-2907
Phone: (262) 534-7297
Mailing address: 2011 Rutland Dr, Austin, TX 78758-5421

Authorised official

Name: Christopher Slover
Title: Ceo
Phone: (512) 973-9700

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: 1508042961
Entity type: Organization
NPI issued: 16 Jan 2008
Record last updated: 24 Nov 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.