Whites Residential Treatment & Clinical Services, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

2665 Issued in WI

Legal business name

WHITES RESIDENTIAL TREATMENT & CLINICAL SERVICES, INC.

Practice address

4020 W Burleigh St
Milwaukee, WI 53210-1817

Phone

(414) 445-7288

Fax

(414) 445-7708

NPI assigned

Nov 19, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Lanell White, CCS

Title

Director

Phone

(414) 536-7098

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1821326455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 W CAPITOL DR",
            "address_2": "SUITE 212",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162156",
            "telephone_number": "414-536-7098",
            "fax_number": "414-536-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 W BURLEIGH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532101817",
            "telephone_number": "414-445-7288",
            "fax_number": "414-445-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITES RESIDENTIAL TREATMENT & CLINICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "LANELL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "414-536-7098",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CCS"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "WI",
            "license": "2665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breya Logan Whitefield, PHD
• Erin Whiteford, MD
• Javonte J Whitehead
• Melissa Marie Whitehouse, PHYSICIAN ASSISTANT
• Ryan Whitehouse, AA
• Dyresha Whiteside, REGISTERED NURSE
• Sheila Rena Whiting, RN
• John William Whitinger IV, MD
• Mariel C Whitley, ARNP
• Emily Whitlock

• Substance Abuse Rehabilitation Facility in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Substance Abuse Rehabilitation Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.