Provider Demographics
NPI:1073775953
Name:CRISIS RESOURCE CENTER
Entity Type:Organization
Organization Name:CRISIS RESOURCE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:ZALEWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-937-2020
Mailing Address - Street 1:1040 S 70TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53214-3174
Mailing Address - Country:US
Mailing Address - Phone:414-476-9675
Mailing Address - Fax:414-476-9615
Practice Address - Street 1:2057 S 14TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53204-3847
Practice Address - Country:US
Practice Address - Phone:414-643-8778
Practice Address - Fax:414-643-8708
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRANSITIONAL LIVING SERVICES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-07-01
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health