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NEURORESTORATIVE WISCONSIN
NPI 1649574252
Community Based Residential Treatment Facility, Mental Illness in Waterford, WI

Active since December 23, 2010
5310 BUENA PARK RD, WATERFORD, WI 53185(262) 534-4864(262) 546-0801 Get Directions Write a Review

NPPES record last updated: December 23, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Neurorestorative Wisconsin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEURORESTORATIVE WISCONSIN (NPI 1649574252) is a healthcare organization registered as a community based residential treatment facility, mental illness in Waterford, Wisconsin and active in the NPI registry since December 2010. The organization lists Chris Cutler, Cfo, as its authorized official.

NPPES Registry Identity

NPI1649574252
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameMENTOR ABI
Location Address5310 BUENA PARK RDWaterford, WI 53185-2907
Mailing Address10150 Highland Manor Dr Ste 140Tampa, FL 33610-9712 · (813) 626-1444 · Fax (813) 902-6719
Phone(262) 534-4864
Fax(262) 546-0801
Organization SubpartNo
Authorized OfficialChris CutlerCfo · (618) 457-4729
Enumeration DateDecember 23, 2010
✔ NPI 1649574252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License✔ Licensed in WI · 0013091
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
5310 BUENA PARK RD, Waterford, WI 53185
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Other Names 1

Doing Business AsNeurorestorative Wisconsin

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAKEVIEW HEALTHCARE SYSTEMS WATERFORD
Community Based Residential Treatment Facility, Mental Illness
5310 BUENA PARK RD
WATERFORD, WI 53185
Racine County (262) 534-7297

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mentor Abi's NPI number?

The NPI number for Mentor Abi is 1649574252. It was assigned to this organization in the NPPES registry on December 23, 2010. The provider is doing business as Neurorestorative Wisconsin.

Where is Mentor Abi located?

Mentor Abi is located at 5310 Buena Park Rd, Waterford, WI 53185. The listed phone number is (262) 534-4864.

What is Mentor Abi's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Mentor Abi was last updated on December 23, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.