| Brotoloc South, Inc. | |
|
5812 W Burnham St West Allis WI 53219-1524 | |
| (414) 543-3200 | |
| (414) 543-3269 |
| Full Name | Brotoloc South, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5812 W Burnham St, West Allis, Wisconsin |
| Authorized Official Name and Position | Doug E Sveda (DIRECTOR) |
| Authorized Official Contact | 4145433200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brotoloc South, Inc. 5812 W Burnham St West Allis WI 53219-1524 Ph: (414) 543-3200 | Brotoloc South, Inc. 5812 W Burnham St West Allis WI 53219-1524 Ph: (414) 543-3200 |
| NPI Number | 1982933503 |
|---|---|
| Provider Enumeration Date | 12/10/2009 |
| Last Update Date | 04/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982933503 | NPI | - | NPPES |
| 42207400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Stress Management & Mental Health Clinics Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 10201 W Lincoln Ave, # 308, West Allis, WI 53227 Phone: 414-329-7000 Fax: 414-329-7010 | |
Walter K T Wong Md Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2424 S 90th St, Ste. 202, West Allis, WI 53227 Phone: 414-328-7646 Fax: 414-328-7699 | |
Temenos Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7441 West Greenfield Avenue, West Allis, WI 53214 Phone: 707-443-3384 Fax: 707-443-3204 | |
Advancing Abilities Of Wisconsin Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10909 W Greenfield Ave, Suite 207, West Allis, WI 53214 Phone: 414-259-0021 Fax: 844-315-9207 | |
Social Rehabilitation And Residential Resources, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9330 W Lincoln Ave Ste 21, West Allis, WI 53227 Phone: 414-546-6880 Fax: 414-546-6234 | |
Act Counseling Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 9401 W Beloit Rd Ste 314, West Allis, WI 53227 Phone: 414-539-4862 Fax: 414-240-0761 | |
Neurology Alliance S.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2424 S 90th St, Suite 504, West Allis, WI 53227 Phone: 414-328-7489 Fax: 414-328-7266 |