OrganizationActive
Independent Lifestyles, Inc.
NPI 1124273479 · Mental Illness Community Based Residential Treatment Facility · New Berlin, WI
Provider details
- NPI number
- 1124273479
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Dan Hoecherl, Administrator/Nurse
Practice location
4405 S Deerwood Dr
New Berlin, WI 53151-9240
Phone: (262) 782-6068
Fax: (262) 827-2642
Mailing address
4405 S Deerwood Dr
New Berlin, WI 53151-9240
Registry dates
- Enumerated
- 2008-11-28
- Last updated
- 2008-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.