Organization
HOPE HAVEN
Active
Parent organization
CATHOLIC CHARITIES
Organization subpart
Yes
Provider details
NPI number
Legal business name
CATHOLIC CHARITIES
Authorized official
MARCIA MARIE LEASER SAC (SUBSTANCE ABUSE COUNSELOR)
(608) 577-3112
Entity
Organization
Contact information
Practice address
3602 MEMORIAL DR, MADISON, WI 53704-1106
(608) 249-2600
(608) 242-0021
Mailing address
3602 MEMORIAL DR, MADISON, WI 53704-1106
(608) 249-2600
(608) 242-0021
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
115813-131
WI
Other
Enumeration date
06/10/2013
Last updated
06/10/2013
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