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Organization
AGNESIAN HEALTHCARE
Active
Organization
AGNESIAN HEALTHCARE
Active
Other names
Psychiatric Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES SALASEK PHD (CLINIC DIRECTOR)
(920) 885-2780
Entity
Organization
Contact information
Practice address
200 FRONT ST, SUITE 3D, BEAVER DAM, WI 53916-1667
(920) 885-2780
(920) 885-2788
Mailing address
200 FRONT ST, SUITE 3D, BEAVER DAM, WI 53916-1667
(920) 885-2780
(920) 885-2788
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1753
WI
Other
Enumeration date
07/06/2006
Last updated
09/04/2007
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