Organization
FAMILY TREE
Active
Other names
The Family Tree Mental Health Clinic, LLP
Organization subpart
No
Provider details
NPI number
Authorized official
LOIS ANN HADLEY MSW (DIRECTOR)
(608) 868-5122
Entity
Organization
Contact information
Practice address
508 CAMPUS ST, SUITE 6, MILTON, WI 53563-1750
(608) 868-5122
Mailing address
508 CAMPUS ST, SUITE 6, MILTON, WI 53563-1750
(608) 868-5122
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42208000
—
WI
Enumeration date
10/18/2006
Last updated
02/20/2008
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