Brotoloc South, Inc.
NPI #1982933503 in West Allis, Wisconsin
Provider Information
- NPI Number
- 1982933503
- Entity Type
- Organization
- Organization Name
- Brotoloc South, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BROTOLOC SOUTH, INC.
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Dec 10, 2009
- Last Updated
- Apr 26, 2010
Practice Location
- Address
- 5812 W BURNHAM ST
- City
- West Allis
- State
- Wisconsin
- ZIP Code
- 53219-1524
- Phone
- (414) 543-3200
Authorized Official
- Name
- DOUG E SVEDA
- Title
- DIRECTOR
- Phone
- (414) 543-3200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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