Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAD LAKE, INC.
Active OrganizationResidential Treatment, Emotionally Disturbed Children · DOUSMAN, WI
Registration Details
- NPI Number
- 1114196854
- Provider Type
- Organization
- NPI Issued
- Feb 27, 2008 (18.158099447583 yrs)
- Last Updated
- Feb 27, 2008
- Licenses
-
NONE (WI)265001 (WI)
Practice Information
- Address
-
W350S1401 WATERVILLE RDDOUSMAN, WI, 531189020Browse WI providers · Browse ZIP 53118
- Phone
- 2629652131
- Primary Specialty
-
Residential Treatment, Emotionally Disturbed Children
322D00000X
- Additional Specialty
- Residential Treatment, Emotionally Disturbed Children
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.