Lakeview Healthcare Systems Waterford

NPI #1508042961 in Waterford, Wisconsin

Provider Information

NPI Number: 1508042961
Entity Type: Organization
Organization Name: Lakeview Healthcare Systems Waterford
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Jan 16, 2008
Last Updated: Nov 24, 2008

Practice Location

Address: 5310 BUENA PARK RD
City: Waterford
State: Wisconsin
ZIP Code: 53185-2907
Phone: (262) 534-7297

Authorized Official

Name: MR. CHRISTOPHER SLOVER
Title: CEO
Phone: (512) 973-9700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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