institution
Mentor Abi
Mental Illness Community Based Residential Treatment Facility in Waterford, Wisconsin
NPI 1649574252

Mentor Abi is a Mental Illness Community Based Residential Treatment Facility based in Tampa, WI. Mentor Abi practices in Waterford, WI. The NPI Number for Mentor Abi is 1649574252 and holds a License No. 0013091 (Wisconsin).

The current practice location address for Mentor Abi is 5310 Buena Park Rd, Waterford, WI and can be reached out via phone at 262-534-4864 and via fax at 262-546-0801.

Location: 5310 Buena Park Rd, Waterford, WI, 33610-9712
institution
Provider Profile Details
NPI Number
1649574252
Provider Name
Mentor Abi
Credential
Provider Entity Type
Organization
Address
5310 Buena Park Rd, Waterford, WI, 33610-9712
Phone Number
262-534-4864
Fax Number
262-546-0801
Provider Enumeration Date
12/23/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5310 Buena Park Rd
City
State
Zip
53185-2907
Phone Number
262-534-4864
Fax Number
262-546-0801
person
Provider Business Mailing Address Details
Address
5310 Buena Park Rd
City
State
Zip
53185-2907
Phone Number
262-534-4864
Fax Number
262-546-0801
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
0013091 (Wisconsin)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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