Provider Demographics
NPI:1528228392
Name:ALF
Entity Type:Organization
Organization Name:ALF
Other - Org Name:A BETTER WAY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:
Authorized Official - Last Name:PETERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:262-255-3399
Mailing Address - Street 1:5800 N BAYSHORE DR
Mailing Address - Street 2:# B234
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53217-4540
Mailing Address - Country:US
Mailing Address - Phone:414-327-6500
Mailing Address - Fax:414-332-8367
Practice Address - Street 1:5800 N BAYSHORE DR
Practice Address - Street 2:# B234
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53217-4540
Practice Address - Country:US
Practice Address - Phone:414-327-6500
Practice Address - Fax:414-332-8367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-14
Last Update Date:2008-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health