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Oconomowoc Developmental Training Center Of Wisconsin Llc
Emotionally Disturbed Childrens' Residential Treatment Facility in Oconomowoc, Wisconsin
NPI 1689145500

Oconomowoc Developmental Training Center Of Wisconsin Llc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Oconomowoc, WI. Oconomowoc Developmental Training Center Of Wisconsin Llc practices in Oconomowoc, WI. The NPI Number for Oconomowoc Developmental Training Center Of Wisconsin Llc is 1689145500 and holds a License No. (Wisconsin).

The current practice location address for Oconomowoc Developmental Training Center Of Wisconsin Llc is 36100 Genesee Lake School, Oconomowoc, WI and can be reached out via phone at 262-569-5510. You can also correspond with Oconomowoc Developmental Training Center Of Wisconsin Llc through the mailing address at 36100 GENESEE LAKE SCHOOL, OCONOMOWOC, WI - 53066 (mailing address contact number: 262-569-5510).

Location: 36100 Genesee Lake School, Oconomowoc, WI, 53066
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689145500
Provider Name
Oconomowoc Developmental Training Center Of Wisconsin Llc
Credential
Provider Entity Type
Organization
Address
36100 Genesee Lake School, Oconomowoc, WI, 53066
Phone Number
262-569-5510
Fax Number
Provider Enumeration Date
12/17/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
36100 Genesee Lake School
City
Oconomowoc
State
Wisconsin
Zip
53066
Phone Number
262-569-5510
Fax Number
person
Provider Business Mailing Address Details
Address
36100 Genesee Lake School
City
Oconomowoc
State
Wisconsin
Zip
53066
Phone Number
262-569-5510
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
()
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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