Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

St Aemilian-Lakeside, Inc

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1043521156

St Aemilian-Lakeside, Inc is an Emotionally Disturbed Childrens' Residential Treatment Facility in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2010.

Licensed in
WI
In the registry since
2010
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8901 W Capitol Dr
Milwaukee, WI 53222-1706
Phone: (414) 465-1308
Fax: (414) 465-5788
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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 265011 (WI)

Record details

NPI number1043521156
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bridget Fassett — Chief Financial Officer · (414) 465-1308
NPI enumeratedJune 24, 2010
Last updated in NPPESJune 24, 2010
Mailing address8901 W Capitol Dr, Milwaukee, WI 53222-1706

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