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OCONOMOWOC DEVELOPMENTAL TRAINING CENTER ODTC
NPI 1720117583
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Oconomowoc, WI

Active since March 05, 2007
36100 GENESEE LAKE RD, OCONOMOWOC, WI 53066(262) 569-5515(262) 569-9962 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Oconomowoc Developmental Training Center Odtc NPPES

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

OCONOMOWOC DEVELOPMENTAL TRAINING CENTER ODTC (NPI 1720117583) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Oconomowoc, Wisconsin and active in the NPI registry since March 2007. The organization lists M Deborah Frisk, Vice President, as its authorized official.

NPPES Registry Identity

NPI1720117583
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameOCONOMOWOC DEVELOPMENTAL TRAINING CENTER OF WISCONSIN LLC
Location Address36100 GENESEE LAKE RDOconomowoc, WI 53066
Mailing AddressPo Box 278Dousman, WI 53118 · (262) 569-5515 · Fax (262) 569-9962
Phone(262) 569-5515
Fax(262) 569-9962
Organization SubpartNo
Authorized OfficialM Deborah FriskVice President · (262) 569-5515
Enumeration DateMarch 5, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1720117583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
36100 GENESEE LAKE RD, Oconomowoc, WI 53066
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Other Names 1

Doing Business AsOconomowoc Developmental Training Center Odtc

Other Providers at the Same Location NPPES 8

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

ROSE WORDEN LPC
Counselor (Professional)
36100 GENESEE LAKE RD
OCONOMOWOC, WI 53066
Waukesha County (262) 569-5515
MRS. AMANDA STRUCK LPC
Counselor (Professional)
36100 GENESEE LAKE RD
OCONOMOWOC, WI 53066
Waukesha County (262) 490-9598
ANNE L FELDEN PSYCHOLOGIST
Psychologist
36100 GENESEE LAKE RD
OCONOMOWOC, WI 53066
Waukesha County (262) 443-1236
MARK HOHENWALD CSW
Social Worker
36100 GENESEE LAKE RD
OCONOMOWOC, WI 53066
Waukesha County (262) 569-5515
ANGELA GUNDERSON
Social Worker
36100 GENESEE LAKE RD
OCONOMOWOC, WI 53066
Waukesha County (262) 468-0629
GENESEE COMMUNITY SERVICES, LLC
Community/Behavioral Health
36100 GENESEE LAKE RD
OCONOMOWOC, WI 53066
Waukesha County (262) 569-5510
ELLA GORGAN
Behavior Analyst
36100 GENESEE LAKE RD
OCONOMOWOC, WI 53066
Waukesha County (262) 470-4544
KIM TULA CSW
Social Worker (Clinical)
36100 GENESEE LAKE RD
OCONOMOWOC, WI 53066
Waukesha County (262) 569-4848

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 Oconomowoc Developmental Training Center Of Wisconsin LLC's NPI number?

The NPI number for Oconomowoc Developmental Training Center Of Wisconsin LLC is 1720117583. It was assigned to this organization in the NPPES registry on March 5, 2007. The provider is doing business as Oconomowoc Developmental Training Center Odtc.

Where is Oconomowoc Developmental Training Center Of Wisconsin LLC located?

Oconomowoc Developmental Training Center Of Wisconsin LLC is located at 36100 Genesee Lake Rd, Oconomowoc, WI 53066. The listed phone number is (262) 569-5515.

What is Oconomowoc Developmental Training Center Of Wisconsin LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Oconomowoc Developmental Training Center Of Wisconsin LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.