Organization
CHURCH HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN OSTEEN (EXECUTIVE DIRECTOR)
(920) 887-1766
Entity
Organization
Contact information
Practice address
115 N CENTER ST, BEAVER DAM, WI 53916-2119
(920) 887-1766
(920) 887-2322
Mailing address
115 N CENTER ST, BEAVER DAM, WI 53916-2119
(920) 887-1766
(920) 887-2322
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
3106
WI
Other
Enumeration date
12/16/2015
Last updated
12/16/2015
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