Waukesha County

NPI #1033243340 in Waukesha, Wisconsin

Provider Information

NPI Number: 1033243340
Entity Type: Organization
Organization Name: Waukesha County
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Mar 16, 2007
Last Updated: Nov 10, 2025

Practice Location

Address: 514 RIVERVIEW AVE
City: Waukesha
State: Wisconsin
ZIP Code: 53188-3632
Phone: (262) 548-7666

Authorized Official

Name: DAVID M DEROSIER
Title: CREDENTIALING SPECIALIST
Phone: (262) 548-8431

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X
Community/Behavioral Health	251S00000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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