Adult & Adolescent Trt Ctr
Adult & Adolescent Trt Ctr provides Psychiatry Physician services in Glendale, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2008.
- Licensed in
- WI
- In the registry since
- 2008
Practice location Address checks out
5225 N Ironwood Rd S102Glendale, WI 53217-4909 Not confirmed with CMS for 18 years — call before visiting
Phone: (414) 332-0552
Fax: (414) 962-4356
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X · Licence 15620 (WI) |
|---|
Record details
| NPI number | 1124286430 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeffrey Wilson — President · (414) 332-0552 |
| NPI enumerated | May 23, 2008 |
| Last updated in NPPES | May 23, 2008 |
| Mailing address | 5225 N Ironwood Rd, S102, Glendale, WI 53217-4909 |
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Ilva E Van Valkenburgh, MD
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