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NPI 1326306747 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Milwaukee, WI
Provider details
- NPI number
- 1326306747
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Percenia Coleman, Administrator(646) 731-8198
- License
- 320900000X (WI)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 320900000X (WI)
Residential Treatment Facilities
Practice location
7510 N 87th St
Milwaukee, WI 53224-4038
Phone: (646) 731-8198
Approximate (ZIP-level) locationGet directions
Mailing address
7510 N 87th St
Milwaukee, WI 53224-4038
Registry dates
- Enumerated
- 2012-04-24
- Last updated
- 2012-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.