Healthcare Provider Details

I. General information

NPI: 1851935605
Provider Name (Legal Business Name): LSS ASPEN CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2019
Last Update Date: 08/12/2021
Certification Date: 08/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 W BLUEMOUND RD
WAUKESHA WI
53186-2787
US

IV. Provider business mailing address

6737 W WASHINGTON ST STE 2275
WEST ALLIS WI
53214-5666
US

V. Phone/Fax

Practice location:
  • Phone: 414-246-2300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH ARZBECKER
Title or Position: COO
Credential:
Phone: 414-246-2326