Lutheran Social Services of Wisconsin and Upper Michigan, Inc.

NPI #1528133071 in Waukesha, Wisconsin

Provider Information

NPI Number: 1528133071
Entity Type: Organization
Organization Name: Lutheran Social Services of Wisconsin and Upper Michigan, Inc.
Primary Specialty: Substance Abuse Rehabilitation Facility
Enumeration Date: Nov 21, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 325 SENTINEL DR
City: Waukesha
State: Wisconsin
ZIP Code: 53189-7551
Phone: (262) 542-2663

Authorized Official

Name: MR. MICHAEL HAROLD GUNS
Title: VICE PRESIDENT FINANCE, CFO
Phone: (414) 325-3010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility	324500000X	Primary

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