Organization
PLATTEVILLE FAMILY RESOURCE CENTER
Active
Parent organization
PLATTEVILLE FAMILY RESOURCE CENTER
Other names
SW WI Regional Elem Therapeutic Classroom
Organization subpart
Yes
Provider details
NPI number
Legal business name
PLATTEVILLE FAMILY RESOURCE CENTER
Authorized official
DR. MARC WRUBLE PH.D. (DIRECTOR)
(608) 348-4060
Entity
Organization
Contact information
Practice address
155 W LEWIS ST, PLATTEVILLE, WI 53818-2103
(608) 642-1563
(608) 348-4191
Mailing address
PO BOX 36, PLATTEVILLE, WI 53818-0036
(608) 348-4060
(608) 348-4191
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39757000
—
WI
Enumeration date
06/12/2015
Last updated
08/04/2015
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