Individual Growth Serivces, Inc
Individual Growth Serivces, Inc is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Port Washington, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2015.
- Licensed in
- WI
- In the registry since
- 2015
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1000 N Wisconsin St Ste 5Port Washington, WI 53074-1285
Phone: (262) 284-9656
Fax: (262) 284-4590
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X · Licence 390237 (WI) |
|---|
Record details
| NPI number | 1578935870 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shawn Miles — Director · (262) 284-9656 |
| NPI enumerated | October 26, 2015 |
| Last updated in NPPES | October 26, 2015 |
| Mailing address | 1000 N Wisconsin St, Suite 5, Port Washington, WI 53074-1285 |