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Organization
CATHOLIC CHARITIES INC DIOCESE OF MADISON
Active
Organization
CATHOLIC CHARITIES INC DIOCESE OF MADISON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY MEDENWALDT (EXECUTIVE DIRECTOR OF PROGRAMS)
(608) 826-8000
Entity
Organization
Contact information
Practice address
702 S HIGH POINT RD STE 201, MADISON, WI 53719-4926
(608) 826-8000
(608) 826-8026
Mailing address
702 S HIGH POINT RD STE 201, MADISON, WI 53719-4926
(608) 826-8000
(608) 826-8026
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4211-0000
—
WI
Enumeration date
07/18/2006
Last updated
09/19/2023
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