Organization
BELL THERAPY INC CSP SOUTH
Active
Other names
CSP South
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE JONES M.S. (DIRECTOR OF OUTPATIENT SERVICES)
(414) 871-6122
Entity
Organization
Contact information
Practice address
634 W HISTORIC MITCHELL ST, MILWAUKEE, WI 53204-3512
(414) 383-4486
Mailing address
634 W HISTORIC MITCHELL ST, MILWAUKEE, WI 53204-3512
(414) 383-4486
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
1095
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1095
STATE CERTIFICATE-LICENSE
WI
05
—
43428800
—
WI
Enumeration date
06/22/2007
Last updated
08/22/2020
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