RAVENSWOOD CLINIC INC NPI 1285716308

NPI Information

RAVENSWOOD CLINIC INC is a mental health (including community mental health center) clinic center in Milwaukee, WI. RAVENSWOOD CLINIC INC NPI is 1285716308. The provider is registered as an organization entity type.
The provider Other Name Is Ravenswood Clinic.

The provider's business location address is:

2266 N PROSPECT AVE
SUITE 608
MILWAUKEE, WI
ZIP 53202-306
Phone: (414) 224-0492
Fax: (414) 224-8112

The provider's authorized official is Anthony Francis Werth .
The authorized official title is Executive Director and has the following contact phone number (414) 224-0492.

The enumeration date for this NPI number is 10/19/2006 and was last updated on 3/27/2014.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.