Provider Demographics
NPI:1902001878
Name:BELL THERAPY DAY ONE EAST COMMUNITY SUPPORT PROGRAM
Entity Type:Organization
Organization Name:BELL THERAPY DAY ONE EAST COMMUNITY SUPPORT PROGRAM
Other - Org Name:BELL THERAPY DOE-CSP
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF OUTPATIENT SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:414-871-6122
Mailing Address - Street 1:6414 W FOND DU LAC AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53218-4917
Mailing Address - Country:US
Mailing Address - Phone:414-463-8777
Mailing Address - Fax:
Practice Address - Street 1:6414 W FOND DU LAC AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53218-4917
Practice Address - Country:US
Practice Address - Phone:414-463-8777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management