NPI 1972610541

The Cambrige Group INC.

Organisation Mental Illness Community Based Residential Treatment Facility Glendale, WV

Practice location

Address: 6110 N. Port Washington Road, Glendale, WV 53217
Phone: (414) 332-7400
Fax: (414) 963-6866
Mailing address: 6110 N Port Washington Rd, Glendale, WI 53217-4308

Authorised official

Name: Paul Smerz
Title: Clinical Psychologist
Phone: (414) 332-7400

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 1404-057 (WI)

Other Community Based Residential Treatment Facility, Mental Illness providers in West Virginia →

Registry record

NPI: 1972610541
Entity type: Organization
NPI issued: 23 Aug 2006
Record last updated: 28 Dec 2007

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.