River's Shore Clinic Ctc

NPI #1285187179 in Milwaukee, Wisconsin

Provider Information

NPI Number: 1285187179
Entity Type: Organization
Organization Name: River's Shore Clinic Ctc
Primary Specialty: Substance Abuse Rehabilitation Facility
Enumeration Date: Jul 27, 2016
Last Updated: Jul 27, 2016

Practice Location

Address: 3707 N RICHARDS ST
City: Milwaukee
State: Wisconsin
ZIP Code: 53212-1673
Phone: (414) 967-7006

Authorized Official

Name: LATEKA WASHINGTON
Title: CLINICAL DIRECTOR
Phone: (414) 967-7006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility	324500000X	Primary

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