Lad Lake, Inc

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1114196854

Lad Lake, Inc is a Mental Illness Community Based Residential Treatment Facility in Dousman, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2008.

Licensed in: WI
In the registry since: 2008
Specialties on file: 2

What do these letters mean?

Inc — Incorporated: A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

W350S1401 Waterville Rd
Dousman, WI 53118-9020
Phone: (262) 965-2131

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

Emotionally Disturbed Childrens' Residential Treatment Facility (primary)	Taxonomy 322D00000X · Licence 265001 (WI)
Mental Illness Community Based Residential Treatment Facility	Taxonomy 320800000X · Licence NONE (WI)

Record details

NPI number	1114196854
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Gary Erdmann — Executive Director · (262) 965-2131
NPI enumerated	February 27, 2008
Last updated in NPPES	February 27, 2008
Mailing address	W350s1401 Waterville Rd, Dousman, WI 53118-9020