Provider Demographics
NPI:1861669830
Name:LA CAUSA, INC.
Entity Type:Organization
Organization Name:LA CAUSA, INC.
Other - Org Name:TREATMENT SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF SOCIAL SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:CHYRA
Authorized Official - Middle Name:
Authorized Official - Last Name:TROST
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:414-902-1500
Mailing Address - Street 1:1212 S 70TH ST STE 115A
Mailing Address - Street 2:
Mailing Address - City:WEST ALLIS
Mailing Address - State:WI
Mailing Address - Zip Code:53214-3105
Mailing Address - Country:US
Mailing Address - Phone:414-902-1500
Mailing Address - Fax:414-902-1515
Practice Address - Street 1:1212 S 70TH ST STE 115A
Practice Address - Street 2:
Practice Address - City:WEST ALLIS
Practice Address - State:WI
Practice Address - Zip Code:53214-3105
Practice Address - Country:US
Practice Address - Phone:414-902-1500
Practice Address - Fax:414-902-1515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-09
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2367251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI42239800Medicaid