Mentor Abi
Mentor Abi is a Mental Illness Community Based Residential Treatment Facility in Waterford, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2010.
- Licensed in
- WI
- In the registry since
- 2010
Practice location Address checks out
5310 Buena Park RdWaterford, WI 53185-2907
Phone: (262) 534-4864
Fax: (262) 546-0801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Illness Community Based Residential Treatment Facility (primary) | Taxonomy 320800000X · Licence 0013091 (WI) |
|---|
Record details
| NPI number | 1649574252 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Chris Cutler — Cfo · (618) 457-4729 |
| Other names | Neurorestorative Wisconsin |
| NPI enumerated | December 23, 2010 |
| Last updated in NPPES | December 23, 2010 |
| Mailing address | 10150 Highland Manor Dr Ste 140, Tampa, FL 33610-9712 |
Other providers in Waterford
-
Lakeview Healthcare Systems Waterford
5310 Buena Park Rd, Waterford, WI 53185-2907 · (262) 534-7297