St Aemilian Lakeside
St Aemilian Lakeside is an Emotionally Disturbed Childrens' Residential Treatment Facility in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2008.
- Licensed in
- WI
- In the registry since
- 2008
Practice location Address checks out
8901 W Capitol DrMilwaukee, WI 53222-1706
Phone: (414) 463-1880
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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 1586121 (WI) |
|---|
Record details
| NPI number | 1275700437 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Laura Van Alstine — Quality Assurance Specialist · (414) 463-1880 |
| NPI enumerated | May 15, 2008 |
| Last updated in NPPES | May 16, 2008 |
| Mailing address | 8901 W Capitol Dr, Milwaukee, WI 53222-1706 |
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