Search › Wisconsin › Mental Illness Community Based Residential Treatment Facility
Antoinette Jackson
NPI 1144196387 · on the registry since 2025 · sole proprietor
Practice
- Address
- 3925 N 6th St
Milwaukee, WI 53212 - Phone
- (414) 234-7720
Registry record
- Primary taxonomy
- Mental Illness Community Based Residential Treatment Facility
320800000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin