RIVER'S SHORE CLINIC CTC NPI 1285187179

NPI Information

RIVER'S SHORE CLINIC CTC is a substance abuse rehabilitation facility in Milwaukee, WI. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. RIVER'S SHORE CLINIC CTC NPI is 1285187179. The provider is registered as an organization entity type.

The provider's business location address is:

3707 N RICHARDS ST
MILWAUKEE, WI
ZIP 53212-673
Phone: (414) 967-7006

The provider's authorized official is Lateka Washington .
The authorized official title is Clinical Director and has the following contact phone number (414) 967-7006.

The enumeration date for this NPI number is 7/27/2016 and was last updated on 7/27/2016.

Taxonomy Codes

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