OrganizationActive
Waukesha County
NPI 1477314854 · Mental Illness Community Based Residential Treatment Facility · Waukesha, WI
Provider details
- NPI number
- 1477314854
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- David Derosier, Credentialing Specialist(262) 548-8431
Specialties & taxonomies
Residential Treatment Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Practice location
1501 Airport Rd
Waukesha, WI 53188-2461
Phone: (262) 548-7950
Fax: (262) 970-6696
Approximate (ZIP-level) locationGet directions
Mailing address
514 Riverview Ave
Waukesha, WI 53188-3631
Other names (DBA / former)
- Other name
- Waukesha Co Regional Crisis Stabilization Facility
- Other name
- Waukesha Co Regional Crisis Stabilization Facility
Registry dates
- Enumerated
- 2024-01-22
- Last updated
- 2025-11-10
- Certified
- 2025-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.