NPI 1801807375

Wisconsin Eating Disorder Specialists Sc

Organisation Psychiatric Hospital Oconomowoc, WI

Practice location

Address: 34700 Valley Rd, Oconomowoc, WI 53066-4500
Phone: (262) 646-1387
Fax: (262) 646-7067
Mailing address: 3630 N Hickory Ln, Oconomowoc, WI 53066-4532

Authorised official

Name: Theodore Weltzin
Title: Owner
Phone: (262) 646-4411

Registered specialties

Psychiatric Hospital Primary

Hospitals Taxonomy 283Q00000X

Other Psychiatric Hospital providers in Wisconsin →

Registry record

NPI: 1801807375
Entity type: Organization
NPI issued: 10 Aug 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.