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Organization
BROTOLOC SOUTH, INC.
Active
Organization
BROTOLOC SOUTH, INC.
Active
Parent organization
BROTOLOC SOUTH, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROTOLOC SOUTH, INC.
Authorized official
NANCY SCHNEIDER (DIRECTOR)
(262) 473-0480
Entity
Organization
Contact information
Practice address
209 S TAFT ST, WHITEWATER, WI 53190-2139
(262) 473-0480
(262) 473-0484
Mailing address
209 S TAFT ST, WHITEWATER, WI 53190-2139
(262) 473-0480
(262) 473-0484
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1115
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42181100
—
WI
Enumeration date
12/24/2009
Last updated
04/15/2010
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