ST. AEMILIAN LAKESIDE NPI 1275700437

NPI Information

ST. AEMILIAN LAKESIDE is a residential treatment facility emotionally disturbed children in Milwaukee, WI. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. ST. AEMILIAN LAKESIDE NPI is 1275700437. The provider is registered as an organization entity type.

The provider's business location address is:

8901 W CAPITOL DR
MILWAUKEE, WI
ZIP 53222-706
Phone: (414) 463-1880

The provider's authorized official is Laura Van Alstine .
The authorized official title is Quality Assurance Specialist and has the following contact phone number (414) 463-1880.

The enumeration date for this NPI number is 5/15/2008 and was last updated on 5/16/2008.

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:

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