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Individual Growth Serivces, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Port Washington, Wisconsin
NPI 1578935870

Individual Growth Serivces, Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Port Washington, WI. Individual Growth Serivces, Inc. practices in Port Washington, WI. The NPI Number for Individual Growth Serivces, Inc. is 1578935870 and holds a License No. 390237 (Wisconsin).

The current practice location address for Individual Growth Serivces, Inc. is 1000 N Wisconsin St, Port Washington, WI and can be reached out via phone at 262-284-9656 and via fax at 262-284-4590.

Location: 1000 N Wisconsin St, Port Washington, WI, 53074-1285
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578935870
Provider Name
Individual Growth Serivces, Inc.
Credential
Provider Entity Type
Organization
Address
1000 N Wisconsin St, Port Washington, WI, 53074-1285
Phone Number
262-284-9656
Fax Number
262-284-4590
Provider Enumeration Date
10/26/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1000 N Wisconsin St
City
Port Washington
State
Wisconsin
Zip
53074-1285
Phone Number
262-284-9656
Fax Number
262-284-4590
person
Provider Business Mailing Address Details
Address
1000 N Wisconsin St
City
Port Washington
State
Wisconsin
Zip
53074-1285
Phone Number
262-284-9656
Fax Number
262-284-4590
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
390237 (Wisconsin)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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