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Lad Lake, Inc.
Emotionally Disturbed Childrens' Residential Treatment Facility in Dousman, Wisconsin
NPI 1114196854

Lad Lake, Inc. is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Dousman, WI. Lad Lake, Inc. practices in Dousman, WI. The NPI Number for Lad Lake, Inc. is 1114196854 and holds a License No. NONE (Wisconsin).

The current practice location address for Lad Lake, Inc. is W350S1401 Waterville Rd, Dousman, WI and can be reached out via phone at 262-965-2131.

Location: W350S1401 Waterville Rd, Dousman, WI, 53118-9020
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114196854
Provider Name
Lad Lake, Inc.
Credential
Provider Entity Type
Organization
Address
W350S1401 Waterville Rd, Dousman, WI, 53118-9020
Phone Number
262-965-2131
Fax Number
Provider Enumeration Date
02/27/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
W350S1401 Waterville Rd
City
Dousman
State
Wisconsin
Zip
53118-9020
Phone Number
262-965-2131
Fax Number
person
Provider Business Mailing Address Details
Address
W350S1401 Waterville Rd
City
Dousman
State
Wisconsin
Zip
53118-9020
Phone Number
262-965-2131
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
265001 (Wisconsin)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
NONE (Wisconsin)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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