OCONOMOWOC DEVELOPMENTAL TRAINING CENTER OF WISCONSIN LLC – NPI #1689145500
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

OCONOMOWOC DEVELOPMENTAL TRAINING CENTER OF WISCONSIN LLC is a residential treatment facility located in OCONOMOWOC, WI. NPPES has assigned the NPI number 1689145500 to OCONOMOWOC DEVELOPMENTAL TRAINING CENTER OF WISCONSIN LLC on December 17, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for OCONOMOWOC DEVELOPMENTAL TRAINING CENTER OF WISCONSIN LLC below.

NPI Profile for
OCONOMOWOC DEVELOPMENTAL TRAINING CENTER OF WISCONSIN LLC

NPI Number
1689145500
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
OCONOMOWOC DEVELOPMENTAL TRAINING CENTER OF WISCONSIN LLC
Primary location
36100 GENESEE LAKE SCHOOL
OCONOMOWOC, WI 53066
Phone: (262) 569-5510 Fax:
Mailing address
Same as primary location
Organization Subpart
Yes - OCONOMOWOC DEVELOPMENTAL TRAINING CENTER OF WISCONSIN LLC is subpart of another organization.
Authorized Official
VICTORIA RAML-GLIDER
EXECUTIVE DIRECTOR
Phone: (262) 569-5510
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.