NPI 1700125622

Acacia Mental Health

Organisation Mental Illness Intermediate Care Facility Milwaukee, WI

Practice location

Address: 6040 W Lisbon Ave, Milwaukee, WI 53210-2116
Phone: (414) 871-9111

Authorised official

Name: Lisa Joy Stallman
Title: Registered Nurse
Phone: (414) 737-0280

Registered specialties

Mental Illness Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310500000X Licence 168390-030 (WI)

Other Intermediate Care Facility, Mental Illness providers in Wisconsin →

Registry record

NPI: 1700125622
Entity type: Organization
NPI issued: 13 Feb 2013
Record last updated: 13 Feb 2013

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.