Healthcare Provider Details

I. General information

NPI: 1508771197
Provider Name (Legal Business Name): THE LINCOLN CENTER FOR FAMILY AND YOUTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 W CAPITOL DR
MILWAUKEE WI
53222-1706
US

IV. Provider business mailing address

1100 ADAMS AVE
AUDUBON PA
19403-2404
US

V. Phone/Fax

Practice location:
  • Phone: 610-389-9090
  • Fax:
Mailing address:
  • Phone: 610-389-9090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: EMILY GATTO
Title or Position: DIRECTOR/SVP
Credential:
Phone: 610-389-9090