Provider Demographics
NPI:1992315592
Name:CHILD FIRST DAY TREATMENT PROGRAM
Entity type:Organization
Organization Name:CHILD FIRST DAY TREATMENT PROGRAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONSULTANT/CLINICAL COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:FRANCINE
Authorized Official - Middle Name:C
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:262-751-7507
Mailing Address - Street 1:8500 W CAPITOL DR STE 201
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53222-1869
Mailing Address - Country:US
Mailing Address - Phone:414-249-4208
Mailing Address - Fax:414-914-9579
Practice Address - Street 1:8500 W CAPITOL DR STE 201
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53222-1869
Practice Address - Country:US
Practice Address - Phone:414-249-4208
Practice Address - Fax:414-914-9579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-07
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty