(ECA OUTPT) - NPI 1669648523 - Residential Treatment Facility, Emotionally Disturbed Children in Eau Claire, WI

Q: What is the provider's specialty?

The provider's specialty is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

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About (eca Outpt) NPPES

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

(ECA OUTPT) (NPI 1669648523) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Eau Claire, Wisconsin and active in the NPI registry since May 2008. The organization lists Charles Lee Albrent, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1669648523

Entity TypeOrganization

Primary Taxonomy322D00000X

Legal Business NameCLINICARE CORPORATION

Location Address550 N DEWEY STEau Claire, WI 54703-3218

Mailing Address550 N Dewey StEau Claire, WI 54703-3218 · (715) 834-6681 · Fax (715) 834-9954

Phone(715) 834-6681

Fax(715) 834-9954

Organization SubpartNo

Authorized OfficialCharles Lee AlbrentExecutive Director · (715) 834-6681

Enumeration DateMay 1, 2008

Last NPPES UpdateJune 26, 2008

✔ NPI 1669648523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities

Taxonomy Code322D00000X

License✔ Licensed in WI · 560002

Definition

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.

550 N DEWEY ST, Eau Claire, WI 54703

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