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STILLWATERS CANCER SUPPORT CENTER NPI 1124559406


NPI Information

NPI: 1124559406
Provider Name: STILLWATERS CANCER SUPPORT CENTER
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
2607 N GRANDVIEW BLVD STE 108
WAUKESHA, WI
ZIP 53188
Phone: (262) 548-9148
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STILLWATERS CANCER SUPPORT CENTER is a community behavioral health in Waukesha, WI. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. STILLWATERS CANCER SUPPORT CENTER NPI is 1124559406. The provider is registered as an organization entity type.

The provider's business location address is:

2607 N GRANDVIEW BLVD STE 108
WAUKESHA, WI
ZIP 53188-690
Phone: (262) 548-9148
Fax: (262) 513-5731

The provider's authorized official is Amy Baumann .
The authorized official title is Associate Executive Director and has the following contact phone number (262) 524-4149.

The enumeration date for this NPI number is 3/27/2017 and was last updated on 3/27/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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