Organization
ATTIC CORRECTIONAL SERVICES INC.
Active
Other names
ACS Clinical Services
Organization subpart
No
Provider details
NPI number
Authorized official
MARK E WAKEFIELD (DEVELOPMENT & QUALITY ASSURANCE OFF)
(608) 223-0017
Entity
Organization
Contact information
Practice address
720 W WASHINGTON ST, APPLETON, WI 54914-3805
(920) 830-1750
(920) 830-1770
Mailing address
PO BOX 7370, MADISON, WI 53707-7370
(608) 223-0017
(608) 223-0019
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
2608
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42246700
—
WI
Enumeration date
02/21/2007
Last updated
09/11/2008
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