Organization · NPI-2

Waukesha County

Case Management · Waukesha, WI

NPI number1740403146
StatusActive
Last updated in NPPESNov 10, 2025

Details

NPI
1740403146
Entity type
Organization (NPI-2)
Legal business name
Waukesha County
Organization subpart
No
Enumeration date
Apr 11, 2007
Certification date
Nov 10, 2025
Last updated
Nov 10, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case Management4307700WIYes
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)42138400WI
251S00000X Community/Behavioral Health32976100WI
251K00000X Public Health or Welfare80259WI
273R00000X Psychiatric Unit10063300WI

Other names

  • Waukesha County (Fiscal) (Other Name)

Practice location

514 Riverview Ave
Waukesha, WI 53188-3632

Phone 262-548-7399 · Fax 262-970-6696

Mailing address

514 Riverview Ave
Waukesha, WI 53188-3631

Phone 262-548-7399 · Fax 262-970-6696

Authorized official

David M Derosier
Credentialing Specialist
2628968431

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