Brotoloc Inc. Outpatient Clinic

Key facts

NPI

1487796181

Entity type

Organization (NPI type 2)

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

License

1115 (WI)

Legal business name

BROTOLOC INC. OUTPATIENT CLINIC

Practice address

209 S Taft St
Whitewater, WI 53190-2139

Phone

(262) 473-0480

Fax

(262) 473-0484

NPI assigned

Feb 12, 2007

Organization subpart

No

Authorized official

Name

Susan Millard, BA

Title

Director

Phone

(262) 473-0480

Corporate family (same tax ID) 5

Organizations that report the same tax identification number in the National Provider Directory.

• Brotoloc Health Care Systems, Inc Mental Health Clinic/Center (Including Community Mental Health Center) · Eau Claire, WI · NPI 1760525091
  NPD tax ID
• Brotoloc Inc. Outpatient Clinic Clinical Psychologist · Whitewater, WI · NPI 1184841660
  NPD tax ID
• Brotoloc Outpatient Clinic Mental Health Clinic/Center (Including Community Mental Health Center) · West Allis, WI · NPI 1700928017
  NPD tax ID
• Brotoloc Sesmv Non-emergency Medical Transport (VAN) · West Allis, WI · NPI 1164565909
  NPD tax ID
• Lakeshores Outpatient Clinic Mental Health Clinic/Center (Including Community Mental Health Center) · Kenosha, WI · NPI 1629111943
  NPD tax ID

National Provider Directory

Tax ID family

Brotoloc (6 organizations share this tax ID)

Specialties & licenses

Addresses

Other identifiers

Other names

• Brotoloc Doing business as

Other providers in Whitewater, WI

• Lisa K Brellenthin, APNP
• Cheryl Bresnahan, DDS
• Forrest Lee Bright, DNP
• Patricia Lee Bromley, PH.D.
• Brotoloc Inc. Outpatient Clinic
• Brotoloc South, Inc.
• Brotoloc South, Inc.
• Maria Ann Brown
• Laura B Carney, APNP
• Chrysalis Psychotherapy LLC

All providers in Whitewater, WI · Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin