Oconomowoc Developmental Training Center of Wisconsin LLC
Oconomowoc Developmental Training Center of Wisconsin LLC is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Oconomowoc, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.
- Licensed in
- WI
- In the registry since
- 2007
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
36100 Genesee Lake RdOconomowoc, WI 53066
Phone: (262) 569-5515
Fax: (262) 569-9962
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 Residential Treatment Facility (primary) | Taxonomy 320600000X (WI) |
|---|
Record details
| NPI number | 1720117583 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | M Frisk — Vice President · (262) 569-5515 |
| Other names | Oconomowoc Developmental Training Center Odtc |
| NPI enumerated | March 5, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | Po Box 278, Dousman, WI 53118 |
Other providers in Oconomowoc
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Oconomowoc Development Training Center Ll
3222 N Silver Cedar Rd, Oconomowoc, WI 53066 · (262) 569-5515