Oconomowoc Development Training Center Ll
NPI #1669705240 in Oconomowoc, Wisconsin
Provider Information
- NPI Number
- 1669705240
- Entity Type
- Organization
- Organization Name
- Oconomowoc Development Training Center Ll
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- OCONOMOWOC DEVELOPMENT TRAINING CENTER LLC
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Sep 14, 2009
- Last Updated
- Sep 14, 2009
Practice Location
- Address
- 3222 N. SILVER CEDAR RD.
- City
- Oconomowoc
- State
- Wisconsin
- ZIP Code
- 53066
- Phone
- (262) 569-5515
Authorized Official
- Name
- MS. M. DEBORAH FRISK, MSW
- Title
- VICE PRESIDENT
- Phone
- (262) 569-5515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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