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Organization
COUNTY OF PORTAGE
Active
Organization
COUNTY OF PORTAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND F PRZYBELSKI (DIRECTOR)
(715) 345-5700
Entity
Organization
Contact information
Practice address
817 WHITING AVE, STEVENS POINT, WI 54481
(715) 345-5350
(715) 345-5966
Mailing address
817 WHITING AVE, STEVENS POINT, WI 54481
(715) 345-5350
(715) 345-5966
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42138600
—
WI
Enumeration date
10/27/2006
Last updated
06/04/2008
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