Social Rehabilitation and Residential Resources, Inc.
NPI #1154514776 in West Allis, Wisconsin
Provider Information
- NPI Number
- 1154514776
- Entity Type
- Organization
- Organization Name
- Social Rehabilitation and Residential Resources, Inc.
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Aug 27, 2007
- Last Updated
- Aug 27, 2007
Practice Location
- Address
- 9330 W LINCOLN AVE STE 21
- City
- West Allis
- State
- Wisconsin
- ZIP Code
- 53227-2300
- Phone
- (414) 546-6880
Authorized Official
- Name
- MR. JEFFERY KINCAID, MS, LPC
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (414) 546-6880
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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